MELIEA ANN LANE (NPI# 1700993334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700993334 |
| Entity Type | Individual |
| Full Name | MELIEA ANN LANE |
| Credential | FNP |
| Practice Address |
1456 Professional Dr Ste #405 Petaluma CA 94954 |
| Practice Telephone | 7077697500 |
| Practice Fax Number | 7077697570 |
| Mailing Telephone | 7077697500 |
| Mailing Fax Number | 7077697570 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2013-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
6841 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | REGISTERED NURSE LICENSE | 268070 | 01 |
| Street Address |
1456 PROFESSIONAL DR STE #405 |
| City | PETALUMA |
| State | CA |
| Zip Code | 94954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883840 | Miguel Ibarra | Counselor | 5350 Old Redwood Highway, Petaluma, CA 94954 | 2019-10-28 |
| 1073169223 | Monica Renee Najera | Behavior Technician | 1670 Corporate Circle, Ste. 100, Petaluma, CA 94954 | 2019-08-14 |
| 1326607201 | Making Magic Happen - People Helping People, Inc. | Marriage & Family Therapist | 1318 Redwood Way, Suite 260, Petaluma, CA 94954 | 2019-06-13 |
| 1477019917 | Rubi Isela Cruz Mendoza I | Behavioral Analyst | 8 Round Walk Circle, Petaluma, CA 94954 | 2019-02-20 |
| 1932679511 | Karen Christianson | Behavior Technician | 1670 Corporate Circle Suite 100, Petaluma, CA 94954 | 2018-11-27 |
| 1669956967 | Alyssa Messer | Assistant Behavior Analyst | 1670 Corporate Cir, Petaluma, CA 94954 | 2018-09-21 |
| 1235620592 | Mallory Paige Mullikin | Nurse Practitioner | 141 Lynch Creek Trail, Ste C, Petaluma, CA 94954 | 2018-05-22 |
| 1457723710 | Lisabel Dolne | Counselor | 1360 N. Mcdowell Blvd.1a, Petaluma, CA 94954 | 2015-10-27 |
| 1083080717 | Pacific Restorative Center | Clinic/Center | 1456 Professional Drive, Suite 404, Petaluma, CA 94954 | 2015-08-17 |
| 1619354198 | Accu Quest Hearing Centers | Clinic/Center | 1456 Professional Dr., Suite 404, Petaluma, CA 94954 | 2015-05-04 |
| Find all providers in zip 94954 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235620592 | Mallory Paige Mullikin | Nurse Practitioner | 141 Lynch Creek Trail, Ste C, Petaluma, CA 94954 | 2018-05-22 |
| 1386989630 | Kari Rebekah Cedillo | Nurse Practitioner | 411 N Mcdowell Blvd Ste 10, Petaluma, CA 94954-2339 | 2012-11-27 |
| 1275547085 | Julie Anna Bautista | Nurse Practitioner | 411 N Mcdowell Blvd Unit 41, Petaluma, CA 94954-2339 | 2006-07-28 |
| 1033196829 | Barbara L. Schoen | Nurse Practitioner | 599 Tomales Rd., Petaluma, CA 94952 | 2005-12-22 |
| 1942809256 | Rachel Pradarelli | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2020-10-19 |
| 1518573161 | Cicily Raye Cooper | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2020-09-18 |
| 1306479381 | Leslie Ann Burger | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2020-02-18 |
| 1124586755 | Gisselle E Suazo | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2019-03-02 |
| 1770049165 | Angie Davis | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2019-02-11 |
| 1326544347 | William Tyson Buis | Nurse Practitioner | 411 N Mcdowell Blvd Unit 41, Petaluma, CA 94954-2339 | 2018-03-30 |
| Find all providers in PETALUMA | ||||
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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.