MCTISA MICHELLE LANE (NPI# 1669756177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669756177 |
| Entity Type | Individual |
| Full Name | MCTISA MICHELLE LANE |
| Credential | FNP |
| Practice Address |
124 Cinder Cross Way Garner NC 27529 |
| Mailing Address |
1159 Huffman Mill Rd Burlington NC 27215-8862 |
| Practice Telephone | 9196259818 |
| Practice Fax Number | 9193078017 |
| Mailing Telephone | 3362238333 |
| Mailing Fax Number | 8555404722 |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2016-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
225163 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5005342 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
124 CINDER CROSS WAY |
| City | GARNER |
| State | NC |
| Zip Code | 27529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578112579 | Ascend Rehab Therapy | Speech-Language Pathologist | 45 Waterpine Drive, Garner, NC 27529 | 2019-09-11 |
| 1760039937 | Direct Realistic Counseling Sevices | Counselor | 503 Highway 70, Suite R, Garner, NC 27529 | 2019-08-22 |
| 1285281402 | Direct Solutions Counseling Services | Counselor | 503 R Highway 70, Garner, NC 27529 | 2019-08-22 |
| 1821551920 | Rex Hospital Inc | Emergency Medicine | 1165 Us Hwy 70 W, Garner, NC 27529 | 2019-04-08 |
| 1154888485 | First Step Services, LLC | Social Worker | 1418 Aversboro Road, Suite 201, Garner, NC 27529 | 2019-02-22 |
| 1528533387 | Pratibha Verma | Physical Therapist | 200 Bellarose Nursing and Rehab, Garner, NC 27529 | 2018-10-09 |
| 1073037271 | Kim Robert Rogers | Marriage & Family Therapist | 1140 Holly Springs Road #207, Holly Springs, NC 27529 | 2017-07-29 |
| 1790214062 | Diversified Services of Nc LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 255 Adams Point Dr, Garner, NC 27529 | 2017-06-08 |
| 1972049369 | Michelle Stephens | Case Manager/Care Coordinator | 7017 Scarlett Ln, Garner, NC 27529 | 2017-01-10 |
| 1962854877 | Brittany H Mccrann | Social Worker | 310 New Fidelity Ct, Garner, NC 27529 | 2016-07-05 |
| Find all providers in zip 27529 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174975387 | Linda White | Nurse Practitioner | 3005 Lindsay Dr, Garner, NC 27529-8470 | 2016-07-12 |
| 1366841330 | Kendra Dennison | Nurse Practitioner | 1336 Brompton Ln, Garner, NC 27529-4873 | 2014-08-15 |
| 1699197426 | Benjamin Jeffrey | Nurse Practitioner | 127 Us 70 Hwy W, Garner, NC 27529-3942 | 2014-01-14 |
| 1437371457 | Shelley K Bunting | Nurse Practitioner | 501 Health Park Dr Ste 150, Garner, NC 27529-6936 | 2007-05-02 |
| 1972574176 | Lori Orndorff Cobern | Nurse Practitioner | 790 Timber Drive, Minute Clinic, Garner, NC 27529 | 2006-01-27 |
| 1558978999 | Deborah Lousie Ballard | Nurse Practitioner | 790 Timber Dr, Garner, NC 27529-4852 | 2020-09-29 |
| 1720691298 | Shannon Leigh Keeney | Nurse Practitioner | 171 Mast Dr, Garner, NC 27529-6718 | 2020-08-25 |
| 1558986398 | Jamie Hisae Bledsoe | Nurse Practitioner | 22 Shipwash Dr, Garner, NC 27529-6861 | 2020-06-08 |
| 1265065270 | Tara Ann Rochleau | Nurse Practitioner | 840 W Us Highway 18, Garner, IA 50438-1023 | 2020-02-18 |
| 1285280313 | Holly Short | Nurse Practitioner | 790 Timber Dr, Garner, NC 27529-4852 | 2019-08-14 |
| Find all providers in GARNER | ||||
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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.