JUDITH A LANE (NPI# 1386939833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386939833 |
| Entity Type | Individual |
| Full Name | JUDITH A LANE |
| Credential | NP |
| Practice Address |
4545 E Shea Blvd 175 Phoenix AZ 85028-3074 |
| Practice Telephone | 6024645200 |
| Practice Fax Number | 4809072108 |
| Mailing Telephone | 6024645200 |
| Mailing Fax Number | 4809072108 |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN102217 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447377064 | Judith Venes Lane | Dentist | 1810 Professional Dr, Sacramento, CA 95825 | 2007-03-26 |
| 1508815911 | Judith A Lane | Nurse Anesthetist, Certified Registered | Emily @ 42nd St, Omaha, NE 68198-8102 | 2006-05-10 |
| 1669438594 | Judith Kay Lane | Nurse Practitioner | 1801 Forest Hills Blvd, Bella Vista, AR 72715-3071 | 2006-04-20 |
| 1891770202 | Judith B Lane | Physical Therapist | 2448 Merritt Creek Loop, Coeur D'alene, ID 83814-4953 | 2005-12-08 |
| Street Address |
4545 E SHEA BLVD 175 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028-3074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386638492 | George J Joumas | Counselor | 4545 E Shea Blvd, Suite 112, Phoenix, AZ 85028-3074 | 2005-09-02 |
| 1538606140 | Open Hearts Open Minds Counseling Services, LLC. | Community/Behavioral Health | 4545 E Shea Blvd, Suite 235, Phoenix, AZ 85028 | 2017-01-21 |
| 1427502152 | Alessandra Goodfellow | Physical Therapist | 4545 E Shea Blvd, Suite 168, Phoenix, AZ 85028-3074 | 2016-08-10 |
| 1174932891 | Women's Center for Wellness and Rehabiliation | Naturopath | 4545 E Shea Blvd, Suite 168, Phoenix, AZ 85028-3074 | 2014-08-06 |
| 1568897619 | David Marcus Benson | Dentist | 4545 E Shea Blvd, Suite 203, Phoenix, AZ 85028-3074 | 2013-09-09 |
| 1881945517 | North Valley Chiropractic Center PC | Clinic/Center | 4545 E Shea Blvd, Ste 174, Phoenix, AZ 85028-3074 | 2012-09-20 |
| 1326327628 | Rachel B Carpenter | Nurse Practitioner | 4545 E Shea Blvd, 175, Phoenix, AZ 85028-3074 | 2011-08-04 |
| 1104111053 | Yolanda Lucian George | Nurse Practitioner | 4545 E Shea Blvd, 175, Phoenix, AZ 85028-3074 | 2011-06-17 |
| 1154616944 | Regional Phusician Services of Massachusetts, P.C. | Nurse Practitioner | 4545 E Shea Blvd, 175, Phoenix, AZ 85028-3074 | 2011-06-09 |
| 1083908628 | Anita Rose Brennan | Nurse Practitioner | 4545 E Shea Blvd, 175, Phoenix, AZ 85028-3074 | 2011-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
| 1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
| Find all providers in zip 85028 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456783 | Brenna Michelle Clements | Nurse Practitioner | 3226 W Donatello Dr, Phoenix, AZ 85086-2200 | 2020-10-27 |
| 1932712825 | Grace Wanjiru Karanja Adams | Nurse Practitioner | 200 E Thomas Rd Unit 217, Phoenix, AZ 85012-1182 | 2020-08-28 |
| 1649895574 | Jozzette Elaine Rubio | Nurse Practitioner | 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 | 2020-06-16 |
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1568087955 | Christa Ann Colvin | Nurse Practitioner | 6800 E Mayo Blvd Apt 1211, Phoenix, AZ 85054-5619 | 2020-06-10 |
| 1497378541 | Sharon Uchechi Joshua | Nurse Practitioner | 9117 W Virginia Ave, Phoenix, AZ 85037-4233 | 2020-05-23 |
| 1992326102 | Ashley Elizabeth Hall | Nurse Practitioner | 15810 N 18th St, Phoenix, AZ 85022-3302 | 2020-04-28 |
| 1750916797 | Sebastian Freeman Smith | Nurse Practitioner | 2716 W Cedarwood Ln, Phoenix, AZ 85045-2224 | 2020-03-10 |
| 1295365724 | Jessica Veasy | Nurse Practitioner | 7251 N 23rd Ave, Phoenix, AZ 85021-7714 | 2020-01-23 |
| 1568092526 | Anuradha Lingamneni | Nurse Practitioner | 2313 E Dry Wood Rd, Phoenix, AZ 85024-8688 | 2020-01-18 |
| Find all providers in PHOENIX | ||||
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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.