NICOLE LANE (NPI# 1063745453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063745453 |
Entity Type | Individual |
Full Name | NICOLE LANE |
Credential | RN |
Practice Address |
1616 Ne 16th Way Apt 308 Gresham OR 97030-4272 |
Practice Telephone | 5034924903 |
Mailing Telephone | 5034924903 |
Enumeration Date | 2009-09-16 |
Last Update Date | 2009-09-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
2000940759RN | OR | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497318844 | Nicole Lane | Occupational Therapist | 6225 Kevesta Ave, Palmetto, FL 34221-2577 | 2019-04-20 |
1124271424 | Nicole Lane | Licensed Practical Nurse | 86 Dare Ave, Bridgeton, NJ 08302-2277 | 2008-10-30 |
1851907216 | Nicole Lane | Behavior Technician | 2150 River Plaza Dr Ste 410, Sacramento, CA 95833-4140 | 2020-09-21 |
1477024313 | Nicole Lane | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2018-12-17 |
1114468527 | Nicole R Lane | Registered Nurse | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2017-03-17 |
1942744222 | Nicole Lane | Nurse Practitioner | 7550 W Village Cir, Ste. 1, Wichita, KS 67205-9363 | 2016-12-06 |
1639530405 | Nicole Lane | Social Worker | 2280 Benton Dr., Bldg C, Ste B, Redding, CA 96003 | 2016-03-08 |
1023456282 | Nicole Marie Lane | Dentist | 12311 Nacogdoches Rd, Suite 206, San Antonio, TX 78217-2138 | 2013-06-10 |
1235498965 | Nicole Lane | Pharmacist | 4570 E Cactus Rd, Phoenix, AZ 85032-7702 | 2012-05-15 |
1992848048 | Nicole Lane | Specialist/Technologist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2007-02-15 |
Street Address |
1616 NE 16TH WAY APT 308 |
City | GRESHAM |
State | OR |
Zip Code | 97030-4272 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
Find all providers in zip 97030 |
Taxonomy Code | 163WC0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Critical Care Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649469164 | Therease Marie Foley | Registered Nurse | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2007-10-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730724055 | Joshua Michael Cleary | Registered Nurse | 6676 Se Monroe St, Milwaukie, OR 97222-2306 | 2019-11-11 |
1558879502 | Julie Walko | Registered Nurse | 9341 N Pier Park Pl, Portland, OR 97203-1016 | 2018-01-11 |
1346649993 | Steven Scott Crowthers | Registered Nurse | 745 Laurel St # 445, Jacksonville, OR 97530-9454 | 2014-08-20 |
1629361548 | Wendy Wood-boen | Registered Nurse | 5223 16th Ct Ne, Keizer, OR 97303-3607 | 2011-05-25 |
1417259367 | Claudia A Vargas | Registered Nurse | 1491 Ne Market Dr, Fairview, OR 97024-3811 | 2010-11-29 |
1366765588 | David Edward Perkins | Registered Nurse | 6745 Sw Hyland Way, Beaverton, OR 97008-5044 | 2010-03-02 |
1114165503 | Paula Jean Prince | Registered Nurse | 2242 Ne 21st Ave, Portland, OR 97212 | 2009-01-23 |
1982840138 | Kayla L Pennington | Registered Nurse | 20154 Sw Tillamook Ct, Tualatin, OR 97062-9176 | 2008-12-18 |
1073797023 | Kelli Cordova | Registered Nurse | 5281 Nw Wickiup Way, Portland, OR 97229-7160 | 2007-12-27 |
1962606095 | Scott Jeffrey Finn | Registered Nurse | 731 Sw King Ave Apt 5, Portland, OR 97205-1410 | 2007-06-13 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.