BENITA F LANE (NPI# 1174774756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174774756 |
| Entity Type | Individual |
| Full Name | BENITA F LANE |
| Credential | ARNP |
| Practice Address |
347 S Laura St Wichita KS 67211 |
| Mailing Address |
347 S. Laura St. Wichita KS 67211-1518 |
| Practice Telephone | 3166867117 |
| Practice Fax Number | 3166862679 |
| Mailing Telephone | 3166867117 |
| Mailing Fax Number | 3166862679 |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2020-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 74898 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
74898 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | STATE OF KANSAS LICENSE | 74898 | 01 |
| Street Address |
347 S LAURA ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245234723 | Kathleen A Barrett | Nurse Practitioner | 347 S Laura St, Wichita, KS 67211-1518 | 2005-06-13 |
| 1245711050 | Juliet Makena Gatobu | Nurse Practitioner | 347 S Laura St, Wichita, KS 67211-1518 | 2018-08-29 |
| 1780199901 | Amber Danelle Good | Nurse Practitioner | 347 S Laura St, Wichita, KS 67211-1518 | 2017-12-11 |
| 1295101756 | Michael M Katunzi | Nurse Practitioner | 347 S Laura St, Wichita, KS 67211 | 2015-08-18 |
| 1750504197 | Bonnie Jean Huss | Nurse Practitioner | 347 S Laura St, Wichita, KS 67211 | 2007-04-11 |
| 1841221520 | Amy S Mccue | Nurse Practitioner | 347 S Laura St, Wichita, KS 67211-1518 | 2006-07-05 |
| 1790737302 | Judith K Algrim | Nurse Practitioner | 347 S Laura St, Wichita, KS 67211-1518 | 2006-05-16 |
| 1396796991 | Wichita Medical Associates, Pa | Nurse Practitioner | 347 S Laura St, Wichita, KS 67211 | 2006-05-16 |
| 1982654638 | Rodney K Bryant | Internal Medicine | 347 S Laura St, Wichita, KS 67211 | 2006-05-12 |
| 1235189986 | Amy R Siple | Nurse Practitioner | 347 S Laura St, Wichita, KS 67211 | 2006-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162683 | Karlee Dawn Gluszek | Specialist/Technologist | 1947 S Lulu St, Wichita, KS 67211 | 2017-09-07 |
| 1780139659 | Jaclyn Blyholder | Dentist | 639 S. Hillside, Wichita, KS 67211 | 2016-08-22 |
| 1356715379 | Revitalize Physical Therapy LLC | Physical Therapist | 227 S Ida St, Wichita, KS 67211 | 2015-11-16 |
| 1750753232 | Accurate Sleep Lab | Clinical Medical Laboratory | 411 S Pattie St Suite 2, Wichita, KS 67211 | 2015-10-23 |
| 1841628013 | Joseph Michael Stech | Family Medicine | 940 S. St. Francis, Guadalupe Clinic, Wichita, KS 67211 | 2013-10-24 |
| 1902166648 | Debby Elwood | Counselor | 830 S. Hillside, Wichita, KS 67211 | 2012-05-28 |
| 1205038726 | Patricia (pat) J. Eagleman | Social Worker | 333 S. Greenwood, Wichita, KS 67211 | 2007-06-05 |
| 1114147717 | Rodolfo A Argosino Md Pa | Family Medicine | 1148 S Hillside, 106, Wichita, KS 67211 | 2007-04-26 |
| 1801911086 | Susan Wright Rockley | Physical Therapist | 2535 East Lincoln, Wichita, KS 67211 | 2007-03-20 |
| 1578618021 | Dependable Assisted Living | Home Health | 401 S Greenwood St, Wichita, KS 67211 | 2007-01-24 |
| Find all providers in zip 67211 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134686579 | Ana Jimenez | Nurse Practitioner | 8821 W Central Park Ct, Wichita, KS 67205-2100 | 2019-02-21 |
| 1336751619 | Jacqualine M Robinson | Nurse Practitioner | 9350 E 35th St N Ste 101, Wichita, KS 67226-2022 | 2020-08-19 |
| 1861053662 | Lisa Tay | Nurse Practitioner | 100 S Market St Ste 2c, Wichita, KS 67202-3824 | 2019-06-24 |
| 1932684792 | Elyse Lynn Patton | Nurse Practitioner | 925 N Hillside St, Wichita, KS 67214-3219 | 2018-09-27 |
| 1013403039 | Allison Nicole Harned | Nurse Practitioner | 4013 N Ridge Rd Ste 210, Wichita, KS 67205 | 2018-07-02 |
| 1437649423 | Lauren D Heckethorn | Nurse Practitioner | 9350 E 35th St N Ste 101, Wichita, KS 67226 | 2018-05-15 |
| 1699178251 | Rebecca Buell | Nurse Practitioner | 9350 E 35th St N Ste 101, Wichita, KS 67226-2022 | 2014-09-26 |
| 1639105836 | Ann Beck | Nurse Practitioner | 1515 S Clifton Ave, Suite 201, Wichita, KS 67218-2900 | 2006-06-23 |
| 1124063409 | Maryon J Habtemariam | Nurse Practitioner | 1515 S Clifton Ave, Suite 201, Wichita, KS 67218-2900 | 2006-06-19 |
| 1396796991 | Wichita Medical Associates, Pa | Nurse Practitioner | 347 S Laura St, Wichita, KS 67211 | 2006-05-16 |
| Find all providers in WICHITA | ||||
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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.