MARY C LANE (NPI# 1508366238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508366238 |
| Entity Type | Individual |
| Full Name | MARY C LANE |
| Practice Address |
11049 W Hoffman Dr Odessa TX 79764-9043 |
| Mailing Address |
2613 Neill Rd # 6c Big Spring TX 79720-0413 |
| Practice Telephone | 4323857790 |
| Mailing Telephone | 8174017012 |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 155277 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295130839 | Mary Elizabeth Lane | Nurse Practitioner | 1350a Cleveland St, Greenville, SC 29607-2408 | 2014-10-24 |
| 1629237284 | Mary P Lane | Nurse Practitioner | Stony Brook Univ Med Ical Ctr, T12, 080 Health Science Center, Stony Brook, NY 11794-0001 | 2008-06-08 |
| 1871634683 | Mary Penfield Lane | Nurse Practitioner | 5369 Pineywood Rd, Birmingham, AL 35242-3424 | 2007-02-12 |
| 1487767091 | Mary Anne Lane | Registered Nurse | 340 Seminary St., Kenansville, NC 28349 | 2006-08-16 |
| 1033105291 | Mary Boggs Lane | Family Medicine | Cherokee County Health Department, 228 Hilton Street, Murphy, NC 28906-2814 | 2005-09-23 |
| 1649801614 | Mary Lane | Physical Therapist | 1854 W Auburn Rd Ste 200, Rochester Hills, MI 48309-3868 | 2020-01-29 |
| 1144871914 | Mary Margaret Lane | Social Worker | 500 Victory Rd, Quincy, MA 02171-3139 | 2019-09-24 |
| 1134778715 | Mary Patricia Lane | Behavior Technician | 925 Conference Dr, Greenville, NC 27858-5971 | 2019-09-06 |
| 1518470327 | Mary Alice Lane | Registered Nurse | 5231 Penn Ave, Pittsburgh, PA 15224-1768 | 2017-11-15 |
| 1215450234 | Mary Lane | Social Worker | 430 Southgate Ave, Iowa City, IA 52240-4425 | 2017-07-21 |
| Street Address |
11049 W HOFFMAN DR |
| City | ODESSA |
| State | TX |
| Zip Code | 79764-9043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255831038 | Valerie Ann Saiz | Licensed Vocational Nurse | 11049 W Hoffman Dr, Odessa, TX 79764-9043 | 2018-02-18 |
| 1518468743 | Jahaira Costa | Licensed Vocational Nurse | 11049 W Hoffman Dr, Odessa, TX 79764-9043 | 2018-02-22 |
| 1578063145 | Tisha Diane White | Licensed Vocational Nurse | 11049 W Hoffman Dr, Odessa, TX 79764-9043 | 2018-02-20 |
| 1962902791 | Ty Dan Rodriguez | Licensed Vocational Nurse | 11049 W Hoffman Dr, Odessa, TX 79764-9043 | 2018-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710466610 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3050 W University Blvd, Odessa, TX 79764 | 2018-08-10 |
| 1962897405 | H-e-b, Lp | Clinical Medical Laboratory | 2501 W. University Blvd, Odessa, TX 79764 | 2015-04-01 |
| 1184022758 | Md Moinul Islam | Physician Assistant | 6030 W. University, Odessa, TX 79764 | 2014-12-15 |
| 1962618637 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 10036 West Westland Drive, Odessa, TX 79764 | 2007-05-16 |
| 1992119838 | Gary Chase Jackson | Optometrist | 6030 W University Blvd, Odessa, TX 79764 | 2014-06-18 |
| 1609128594 | Amanda Lynn Paradeaux | Nurse Practitioner | 3001 W University Blvd, Odessa, TX 79764 | 2012-10-03 |
| 1760619498 | Cindy A Smith | Speech-Language Pathologist | 8712 Claymoor Dr, Odessa, TX 79764-1252 | 2009-06-21 |
| 1003316084 | Maranda Pina Garza | Licensed Vocational Nurse | 24 Bookins Ct, Odessa, TX 79764-1401 | 2018-02-16 |
| 1255378717 | United Supermarkets LLC | Durable Medical Equipment & Medical Supplies | 2751 N County Rd W, Odessa, TX 79764-1665 | 2006-06-01 |
| 1578112454 | Shaikat Banerjee | Pharmacist | 2751 N County Rd W, Odessa, TX 79764-1665 | 2019-09-04 |
| Find all providers in zip 79764 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423047 | Kathy Kim-nhung Duong | Licensed Vocational Nurse | 2306 Boise Dr, Odessa, TX 79762-2109 | 2020-09-24 |
| 1598379570 | Marisela Mendoza | Licensed Vocational Nurse | 1820 Lone Star Dr, Odessa, TX 79766-9040 | 2020-09-07 |
| 1457903643 | Teresa Ann Isom | Licensed Vocational Nurse | 400 E 38th St, Odessa, TX 79762-6835 | 2019-07-09 |
| 1851863807 | Brittany Nicole Armendariz | Licensed Vocational Nurse | 11470 W Edna St # A, Odessa, TX 79763-8407 | 2018-12-31 |
| 1487139655 | Caitlin Shannon Mcgill | Licensed Vocational Nurse | 13515 W County Road 123, Odessa, TX 79765-8802 | 2018-10-03 |
| 1104301456 | Kandace Wilkerson | Licensed Vocational Nurse | 3805 E Everglade Ave, Odessa, TX 79762-7048 | 2018-10-02 |
| 1679057103 | Becky Lamb | Licensed Vocational Nurse | 1715 E 11th St, Odessa, TX 79761-2916 | 2018-09-20 |
| 1346723251 | Vickie Gomez | Licensed Vocational Nurse | 13075 W Citation Dr, Odessa, TX 79763-8109 | 2018-09-07 |
| 1063994077 | Stacy Lynn Cruz | Licensed Vocational Nurse | 2303 Walnut Ave, Odessa, TX 79761-1431 | 2018-09-06 |
| 1629550876 | Ashlea Aguirre | Licensed Vocational Nurse | 1445 Haywood Ave, Odessa, TX 79761-3445 | 2018-09-04 |
| Find all providers in ODESSA | ||||
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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.