DAVID J LANE (NPI# 1164472155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164472155 |
| Entity Type | Individual |
| Full Name | DAVID J LANE |
| Credential | AU.D., CCC-A |
| Practice Address |
4117 S Water Tower Pl Suite C Mount Vernon IL 62864-6293 |
| Practice Telephone | 6182420672 |
| Practice Fax Number | 6182420862 |
| Mailing Telephone | 6182420672 |
| Mailing Fax Number | 6182420862 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2010-08-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 147-000854 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235779463 | David Hubbell Lane | Driver | 712 Ashbury St, San Francisco, CA 94117-4014 | 2020-01-15 |
| 1447601273 | David Lane | Dentist | 95 Old Dixie Hwy Ste A, Adairsville, GA 30103-2044 | 2016-06-22 |
| 1265788988 | David M. Lane | Veterinarian | 1023 County Road 700 E, Albion, IL 62806-4438 | 2012-07-31 |
| 1821236688 | David Holt Lane | Anesthesiology | 50 Interlachen Ln, Excelsior, MN 55331-9469 | 2009-01-30 |
| 1295927176 | David Lane | Occupational Therapy Assistant | 19 Briarmist Ct, O Fallon, MO 63366-6318 | 2007-08-14 |
| 1225138100 | David R Lane | Chiropractor | 75 E 600 S, Brigham City, UT 84302-3227 | 2006-09-22 |
| 1346343407 | David Forrest Lane | Dentist | 1855 Crane Ridge Drive, Suite D, Jackson, MS 39216 | 2006-09-06 |
| 1114979440 | David L Lane | Family Medicine | Building 160 Dogwood Avenue, Mountain Home, TN 37684 | 2006-05-16 |
| 1053312249 | David Allen Lane | Family Medicine | 1 Jarrett White Road, Headquarters Unit, Tripler Army Medical Center, Honolulu, HI 96859-5000 | 2005-08-10 |
| 1871155739 | David Lane | Dentist | 370 Kings Mall Ct, Kingston, NY 12401-1576 | 2019-07-01 |
| Street Address |
4117 S WATER TOWER PL SUITE C |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-6293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720057730 | Heartland Occupational Medicine Physicians of Illinois S C | Family Medicine | 4117 S Water Tower Pl, Suite D, Mount Vernon, IL 62864-6293 | 2006-03-14 |
| 1679979157 | Michael Murray | Physician Assistant | 4117 S Water Tower Pl, Suite D, Mount Vernon, IL 62864-6567 | 2014-11-12 |
| 1134470859 | King City Physician Company, LLC | Family Medicine | 4117 S Water Tower Pl, Suite C, Mount Vernon, IL 62864-6567 | 2012-09-20 |
| 1821158833 | David J. Lane, Ltd. | Audiologist | 4117 S Water Tower Pl, Suite C, Mount Vernon, IL 62864-6293 | 2006-12-11 |
| 1063424836 | Nancy K Kertz | Nurse Practitioner | 4117 S Water Tower Pl, Suite D, Mount Vernon, IL 62864-6293 | 2006-08-12 |
| 1285650838 | Jacques Papazian M.d,s.c. | Otolaryngology | 4117 S Water Tower Pl, Suite C, Mount Vernon, IL 62864-6293 | 2006-07-15 |
| 1366491193 | Jacques Papazian | Family Medicine | 4117 S Water Tower Pl, Suite C, Mount Vernon, IL 62864-6293 | 2006-05-09 |
| 1053380683 | Charles W Neal | Family Medicine | 4117 S Water Tower Pl, Suite D, Mount Vernon, IL 62864-6293 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700188182 | Michelle Marie Copeland | Audiologist | 1451 Yauger Rd Ste 1b, Mount Vernon, OH 43050-7906 | 2010-11-17 |
| 1538376710 | Robin Melissa Graham | Audiologist | 112 Harcourt Rd Ste 4, Mount Vernon, OH 43050-3944 | 2007-05-17 |
| 1255456588 | Mary Ann Wood | Audiologist | 118 S 12th St, Mount Vernon, WA 98274-4036 | 2007-03-19 |
| 1467479238 | Christy G. Naples | Audiologist | 122 E Vine St, Mount Vernon, OH 43050-3444 | 2006-07-16 |
| 1902466717 | Mckenna N Dowdell | Audiologist | 809 Coshocton Ave, Mount Vernon, OH 43050-1900 | 2019-06-14 |
| 1003215005 | Luna Healthcare LLC | Audiologist | 1810 E College Way, Ste. 110, Mount Vernon, WA 98273-2362 | 2014-08-15 |
| 1023428075 | Robin Dembeck | Audiologist | 307 S 13th St, Suite 200, Mount Vernon, WA 98274-4100 | 2014-04-29 |
| 1861837056 | Scott Woodward Spence | Audiologist | 809 Coshocton Ave, Suite F, Mount Vernon, OH 43050-1900 | 2013-05-02 |
| 1073864997 | Mallorie K Smith | Audiologist | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2012-10-02 |
| 1255638789 | Katherine Ann Rooney | Audiologist | 600 N Main St, Mount Vernon, MO 65712-1004 | 2011-02-18 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
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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.