MARY E LANE (NPI# 1578532032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578532032 |
| Entity Type | Individual |
| Full Name | MARY E LANE |
| Credential | CNP |
| Practice Address |
300 N Willson Suite 2001 Bozeman MT 59715-3572 |
| Practice Telephone | 4065870681 |
| Practice Fax Number | 4065879011 |
| Mailing Telephone | 4065870681 |
| Mailing Fax Number | 4065879011 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN18707 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0434538 | 05 | |
| MT | MEDICARE UPIN | P74886 | 01 |
| 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 |
| 1508366238 | Mary C Lane | Licensed Vocational Nurse | 11049 W Hoffman Dr, Odessa, TX 79764-9043 | 2018-02-19 |
| 1518470327 | Mary Alice Lane | Registered Nurse | 5231 Penn Ave, Pittsburgh, PA 15224-1768 | 2017-11-15 |
| Street Address |
300 N WILLSON SUITE 2001 |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715-3572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497723654 | John Robert Tkach | Dermatology | 300 N Willson, Ste 203b, Bozeman, MT 59715 | 2006-03-14 |
| 1477522076 | Lorinda M Ross | Nurse Practitioner | 300 N Willson, Suite 2001, Bozeman, MT 59715 | 2006-03-16 |
| 1255300851 | Kendall A Child | Nurse Practitioner | 300 N Willson, Suite 2001, Bozeman, MT 59715-3572 | 2006-03-16 |
| 1174592604 | Holly A Hausmann | Physician Assistant | 300 N Willson, Suite 2001, Bozeman, MT 59715-3572 | 2006-03-16 |
| 1508835232 | Kathleen G Damberger | Nurse Practitioner | 300 N Willson, Suite 2001, Bozeman, MT 59715-3572 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
| 1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
| 1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
| 1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
| 1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
| 1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
| 1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
| 1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
| 1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
| 1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
| Find all providers in zip 59715 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801275441 | Patricia Brown | Nurse Practitioner | 3810 Valley Commons Dr Ste 1, Bozeman, MT 59718-6477 | 2015-05-28 |
| 1255732079 | Kayla Maureen Wright | Nurse Practitioner | 601 W Villard St, Bozeman, MT 59715-3443 | 2014-09-11 |
| 1881792042 | Patricia J. Oriet | Nurse Practitioner | 925 Highland Blvd, Suite 1210, Bozeman, MT 59715-6900 | 2006-09-20 |
| 1477522076 | Lorinda M Ross | Nurse Practitioner | 300 N Willson, Suite 2001, Bozeman, MT 59715 | 2006-03-16 |
| 1255300851 | Kendall A Child | Nurse Practitioner | 300 N Willson, Suite 2001, Bozeman, MT 59715-3572 | 2006-03-16 |
| 1508835232 | Kathleen G Damberger | Nurse Practitioner | 300 N Willson, Suite 2001, Bozeman, MT 59715-3572 | 2006-03-15 |
| 1487622981 | Emily Hooker | Nurse Practitioner | 300 N Willson Ave, Suite 2001, Bozeman, MT 59715-3551 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386073716 | Anna M Danz | Nurse Practitioner | 13526 Crescent Moon Dr, Bigfork, MT 59911-6091 | 2013-11-06 |
| 1710328059 | Stephanie Lynne Santala-moore | Nurse Practitioner | 701 S 27th St, Billings, MT 59101-4511 | 2013-07-15 |
| 1003067182 | St. Patrick Hospital and Health Sciences Center | Nurse Practitioner | 500 W Broadway St # Level3, Missoula, MT 59802-4008 | 2008-10-07 |
| 1700906476 | Powell County Family Plannning | Nurse Practitioner | 305 Milwaukee, Deer Lodge, MT 59722-1069 | 2007-03-29 |
| 1831274844 | Laura Judtih Weiss | Nurse Practitioner | 211 9th St South, Great Falls, MT 59405 | 2006-10-26 |
| 1679594154 | Pamela Jean Shapiro | Nurse Practitioner | 2120 S Reserve St, Pmb 118, Missoula, MT 59801-6451 | 2006-07-21 |
| 1578588992 | Kathleen M. Young | Nurse Practitioner | 115 Heavens Peak Dr, Kalispell, MT 59901-7141 | 2006-07-13 |
| 1497783062 | Mianne Graa | Nurse Practitioner | 401 S Washington St, Butte, MT 59701-2423 | 2006-06-30 |
| 1427096437 | Ullainee Hartman | Nurse Practitioner | 1844 Broadwater Ave, Planned Parenthood of Montana, Billings, MT 59102-4875 | 2006-06-02 |
| 1699738278 | Carol F Nelson | Nurse Practitioner | 7300 North Perimeter Rd, Malmstrom Afb, MT 59402 | 2006-04-06 |
| 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.