KIMBERLY J LANE (NPI# 1093765232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093765232 |
| Entity Type | Individual |
| Full Name | KIMBERLY J LANE |
| Credential | APRN |
| Practice Address |
320 Pomfret St Putnam CT 06260-1836 |
| Practice Telephone | 8609286541 |
| Practice Fax Number | 8609636393 |
| Mailing Telephone | 8609286541 |
| Mailing Fax Number | 8609636393 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2019-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
000708 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | APRN LICENSE NUMBER | 000708 | 01 |
| CT | 4007084 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12 Lathrop Rd, Plainfield, CT 063742061 | 8604579191 | 8604579192 |
| 168 Route 171, Woodstock, CT 062813123 | 8609287775 | 8609283852 |
| 45 Green Hollow Rd, Danielson, CT 062393509 | 8607741255 | 8607792059 |
| 612 Hartford Pike, Dayville, CT 062412159 | 8607790867 | 8607790382 |
| 7 Kennedy Dr, Putnam, CT 062601939 | 8609287704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235778887 | Kimberly Kay Lane | Pharmacist | 200 Saddletree Rd, Shavano Park, TX 78231-1543 | 2019-12-30 |
| 1568933869 | Kimberly Diane Lane | Registered Nurse | 1455 Van Zandt County Road 3812, Wills Point, TX 75169 | 2018-12-12 |
| 1568945673 | Kimberly Ann Lane | Registered Nurse | 737 Cherry St, Baird, TX 79504-4017 | 2018-09-13 |
| 1619485349 | Kimberly Lane | Counselor | 540 Madison Oak Dr Ste 340, San Antonio, TX 78258-3921 | 2018-01-16 |
| 1609305853 | Kimberly Lane | Genetic Counselor, MS | 4708 Alliance Blvd Ste 700, Plano, TX 75093-5317 | 2017-06-09 |
| 1629387311 | Kimberly Lane | Occupational Therapist | 427 Burns Ave, Lake Wales, FL 33853-3314 | 2010-09-29 |
| 1780886093 | Kimberly Joan Lane | Occupational Therapist | 17 Manor Ln, Stony Brook, NY 11790-2817 | 2007-05-31 |
| 1881292472 | Kimberly A Lane | Behavior Technician | 5250 Lankershim Blvd # 507, North Hollywood, CA 91601-3186 | 2020-10-15 |
| 1235755976 | Kimberly Jeanette Lane | Developmental Therapist | 2112 W Galena Blvd Ste 8-316, Aurora, IL 60506-3255 | 2020-06-18 |
| 1700409745 | Kimberly Lane | Counselor | 1100 7th Ave, Jasper, AL 35501-4377 | 2020-05-26 |
| Street Address |
320 POMFRET ST |
| City | PUTNAM |
| State | CT |
| Zip Code | 06260-1836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417940271 | Marc B Cerrone | Pediatrics | 320 Pomfret St, Dkh Pediatric Center, Putnam, CT 06260-1836 | 2005-08-26 |
| 1265065551 | Vanmaly P. Sangasy | Nurse Practitioner | 320 Pomfret St, Putnam, CT 06260-1836 | 2020-02-15 |
| 1952942310 | Jeremy Tyler Rockwell | Registered Nurse | 320 Pomfret St, Putnam, CT 06260-1836 | 2019-10-07 |
| 1215588355 | Caitlyn Allyssa Sward | Dietitian, Registered | 320 Pomfret St, Putnam, CT 06260-1836 | 2019-09-20 |
| 1164082301 | Julie Van Saun | Physician Assistant | 320 Pomfret St, Putnam, CT 06260-1836 | 2019-06-19 |
| 1487127171 | Hartford Orthopedic Surgeons,pc | Durable Medical Equipment & Medical Supplies | 320 Pomfret St, Putnam, CT 06260-1836 | 2019-01-07 |
| 1518434422 | Betsy Alvarado | Physician Assistant | 320 Pomfret St, Putnam, CT 06260-1836 | 2018-10-29 |
| 1831601848 | Robyn A Martin | Obstetrics & Gynecology | 320 Pomfret St, Putnam, CT 06260-1836 | 2017-10-31 |
| 1922529098 | Raphaella Daggett | Nurse Practitioner | 320 Pomfret St, Putnam, CT 06260-1836 | 2017-06-29 |
| 1770010399 | Gurkirat Singh Sandhu | Internal Medicine | 320 Pomfret St, Putnam, CT 06260-1836 | 2017-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838139 | Shayna Marie Robinson | Behavior Technician | 62 Providence Pike Suite E, Putnam, CT 06260 | 2020-07-06 |
| 1649896390 | Bethany Barrette | Behavior Technician | 682 Providence Pike Suite E, Putnam, CT 06260 | 2020-06-18 |
| 1902450448 | Jillian Bellman | Registered Nurse | 391 Pomfret Street, Putnam, CT 06260 | 2019-08-01 |
| 1285297390 | Jourhana Colon | Behavior Technician | 62 Providence Pike Ste E, Putnam, CT 06260 | 2019-04-16 |
| 1457839417 | Amplisound, Inc. | Hearing Instrument Specialist | 19 Quinebaug Avenue, Putnam, CT 06260 | 2018-08-01 |
| 1184095960 | Lori Bergeron | Counselor | 391 Pomret Street, Putnam, CT 06260 | 2015-10-19 |
| 1558619957 | Merinessa Macayaon Quintilla | Physical Therapist | 10 Thurber Road, Genesis - Matulaitis Nursing Home, Putnam, CT 06260 | 2012-08-16 |
| 1235496936 | Mohsin Haseeb | Internal Medicine | Day Kimball Hospital, 320 Pomfret Street, Putnam, CT 06260 | 2012-04-18 |
| 1588932529 | Lifehouse Community Care, LLC | Home Health | 554 Liberty Highway Unit 2, Putnam, CT 06260 | 2011-12-05 |
| 1942433032 | Connecticut Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 57 Providence Pike, Putnam, CT 06260 | 2009-08-24 |
| Find all providers in zip 06260 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891208039 | Willa M Thompson | Nurse Practitioner | 202 Pomfret St, Putnam, CT 06260-1833 | 2017-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164935 | Sheneese Denelle Charles | Nurse Practitioner | 22 Victoria Rd, New Britain, CT 06052-1536 | 2020-11-03 |
| 1396345179 | Kate Hanselman | Nurse Practitioner | 224 Saint John St # 3l, New Haven, CT 06511-4917 | 2020-10-29 |
| 1518565399 | Gina Kolstad | Nurse Practitioner | 279 Quarry Rd # 2, Glastonbury, CT 06033-3406 | 2020-10-13 |
| 1043818966 | Shakeria C Brown | Nurse Practitioner | 567 Millville Ave Apt 3-10, Naugatuck, CT 06770-2337 | 2020-10-13 |
| 1154937910 | Gregory Guion | Nurse Practitioner | 2275 Silas Deane Highway, 2nd Floor, Rocky Hill, CT 06067-2343 | 2020-09-17 |
| 1003425331 | Ryan Keenan | Nurse Practitioner | 34 Seaview Ave, West Haven, CT 06516-6846 | 2020-07-22 |
| 1649888256 | Healthy Minds Pllc | Nurse Practitioner | 40 Russ St, Hartford, CT 06106-1520 | 2020-07-20 |
| 1174131205 | Kimberly Levitt | Nurse Practitioner | 466 Ridgebury Rd, Ridgefield, CT 06877-1228 | 2020-07-15 |
| 1801414602 | Georgina Twumasi Mental Health LLC | Nurse Practitioner | 29 Wildwood Cir, South Windsor, CT 06074-1700 | 2020-07-08 |
| 1356978688 | Rachel Feit | Nurse Practitioner | 63 Pine Tree Dr, Stamford, CT 06906-1529 | 2020-03-25 |
| 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.