BRENDA LANE (NPI# 1669872461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669872461 |
| Entity Type | Individual |
| Full Name | BRENDA LANE |
| Practice Address |
3810-3 Williamsburg Park Blvd Jacksonville FL 32257-9220 |
| Practice Telephone | 9044196102 |
| Practice Fax Number | 9047392153 |
| Mailing Telephone | 9044196102 |
| Mailing Fax Number | 9047392153 |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH 3602 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013010560 | Brenda K Lane | Nurse Practitioner | 10600 Quivira Road, Suite 430, Overland Park, KS 66215 | 2006-09-07 |
| 1417910209 | Brenda Lane | Nurse Practitioner | 2359 N Triphammer Rd, Ithaca, NY 14850-1059 | 2006-04-11 |
| Street Address |
3810-3 WILLIAMSBURG PARK BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32257-9220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164442539 | Van Anthony Fiser | Social Worker | 3810-3 Williamsburg Park Blvd, Jacksonville, FL 32257-9220 | 2006-07-20 |
| 1164059648 | Jeanna Felicita Houston | Counselor | 3810-3 Williamsburg Park Blvd, Jacksonville, FL 32257-9220 | 2020-03-25 |
| 1992332373 | Benjamin Kyle Hancock | Social Worker | 3810-3 Williamsburg Park Blvd, Jacksonville, FL 32257-9220 | 2020-03-25 |
| 1255711024 | Sandra Northcutt | Counselor | 3810-3 Williamsburg Park Blvd, Jacksonville, FL 32257-9220 | 2015-06-05 |
| 1568861516 | Breakthroughs Counseling and Recovery Inc. | Counselor | 3810-3 Williamsburg Park Blvd, Jacksonville, FL 32257-9220 | 2014-08-15 |
| 1265840680 | Melissa Crawford | Counselor | 3810-3 Williamsburg Park Blvd, Jacksonville, FL 32257-9220 | 2014-07-29 |
| 1891126413 | Whitney Hendricks | Counselor | 3810-3 Williamsburg Park Blvd, Jacksonville, FL 32257-9220 | 2013-12-07 |
| 1033414479 | Jerry Ann Sell | Counselor | 3810-3 Williamsburg Park Blvd, Jacksonville, FL 32257-9220 | 2011-01-16 |
| 1801041322 | Clarence E Bilbray | Counselor | 3810-3 Williamsburg Park Blvd, Jacksonville, FL 32257-9220 | 2008-11-25 |
| 1669661278 | Sonia Siso Vockell | Social Worker | 3810-3 Williamsburg Park Blvd, Jacksonville, FL 32257-9220 | 2007-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835842 | Majdoline Kasera | Pharmacist | 11250-4 Old St Augustine Rd, Jacksonville, FL 32257 | 2019-08-06 |
| 1386203859 | Jetaime Y Lewis | Physical Therapist | 9765 San Jose Blvd Ste 6, Jacksonville, FL 32257 | 2019-06-10 |
| 1437622107 | Michelle Espanol Garcia | Nurse Practitioner | 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 | 2019-01-05 |
| 1982172995 | Pacifica Augustine Road LLC | Alzheimer Center (Dementia Center) | 10660 Old Augustine Road, Jacksonville, FL 32257 | 2018-11-07 |
| 1659860492 | Andrea Leigh Miller | Social Worker | 10416 Spotted Fawn Lane, Jacksonville, FL 32257 | 2018-05-08 |
| 1376049965 | Stephanie Lynne Jordon | Nurse Practitioner | 9765 San Jose Blvd Ste 102, Jacksonville, FL 32257 | 2018-04-02 |
| 1205335619 | Annetta Aileen Brown | Respite Care | 4901 Sunbeam Rd Apt 1016, Jacksonville, FL 32257 | 2018-02-12 |
| 1841714888 | Freda Stevens | Counselor | 9521 Shellie Road Unit 13, Jacksonville, FL 32257 | 2017-08-01 |
| 1659821353 | Jennifer Lavoro | Acupuncturist | 11259 Thomaston Pl, Jacksonville, FL 32257 | 2016-10-06 |
| 1225488232 | Avenues Dental LLC | Dentist | 6144 Gazebo Park Place South, Ste 210, Jacksonville, FL 32257 | 2016-06-21 |
| Find all providers in zip 32257 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720519 | Ashley Harms | Counselor | 4070 Herschel St Ste 1, Jacksonville, FL 32210-2239 | 2020-11-03 |
| 1902418684 | Molly Ann Burkhardt | Counselor | 5776 Saint Augustine Rd # 8030, Jacksonville, FL 32207-8046 | 2020-08-23 |
| 1194335638 | Aiteria Green | Counselor | 9713 Bridgeway Ave, Jacksonville, FL 32222-2913 | 2020-08-07 |
| 1053920116 | Barbara Burden | Counselor | 209 N Carole Dr, Jacksonville, NC 28546-4845 | 2020-07-24 |
| 1790393973 | Kelley Holladay | Counselor | 1782 Plantation Oaks Dr, Jacksonville, FL 32223-5010 | 2020-07-14 |
| 1629696646 | Mary Ann Caldwell | Counselor | 2496 Northwoods Dr., Jacksonville, NC 28540 | 2020-07-07 |
| 1447877709 | Quendria Johnson-kerns | Counselor | 200 Zonnie Ln, Jacksonville, NC 28540-9729 | 2020-07-02 |
| 1467077164 | Shanna Horan | Counselor | 13500 Sutton Park Dr S Ste 702, Jacksonville, FL 32224-5290 | 2020-06-09 |
| 1720602527 | Shannon E Raikes | Counselor | 13990 Bartram Park Blvd Unit 209, Jacksonville, FL 32258-5543 | 2020-06-08 |
| 1750905253 | Kathlena N Reed | Counselor | 4131 University Blvd S Fl 32216, Jacksonville, FL 32216-4326 | 2020-06-01 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32257 |
Please comment or provide details below to improve the information on BRENDA LANE.
| 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.