MISS KATHERINE ANNE LANE (NPI# 1730321621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730321621 |
| Entity Type | Individual |
| Full Name | MISS KATHERINE ANNE LANE |
| Other Name | MISS KATHERINE ANNE GILMORE |
| Credential | FNP |
| Practice Address |
5514 Corporate Dr Ste 120 Saint Joseph MO 64507-7754 |
| Practice Telephone | 8162717169 |
| Practice Fax Number | 8162718810 |
| Mailing Telephone | 8162717169 |
| Mailing Fax Number | 8162718810 |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2018-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2007003411 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1730321621 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 401 East Nodaway, Oregon, MO 644739689 | 6604463307 | 6604463302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285983817 | Katherine Carlisle Lane | Internal Medicine | 3459 5th Ave Ste 9, Pittsburgh, PA 15213-3236 | 2012-08-29 |
| 1407319650 | Katherine Olga Lane | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2019-04-12 |
| 1841773330 | Katherine Lane | Audiologist | 101 Sivley Rd Sw, Huntsville, AL 35801-4470 | 2018-09-11 |
| 1275021917 | Katherine Jean Lane | Dietitian, Registered | 8720 14th Ave S, Seattle, WA 98108-4807 | 2018-04-27 |
| 1427545011 | Katherine Elizabeth Lane | Behavioral Analyst | 10 Mohawk Dr, Londonderry, NH 03053 | 2018-04-18 |
| 1568961316 | Katherine Rose Lane | Marriage & Family Therapist | 1200 N Main St Ste 301, Santa Ana, CA 92701-3640 | 2018-02-07 |
| 1275934788 | Katherine May Lane | Nurse Practitioner | 1639 W Morris Blvd, Morristown, TN 37813-2832 | 2014-09-16 |
| 1992913891 | Katherine Dawn Lane | Specialist | 212 S Main St, Mount Vernon, OH 43050 | 2007-05-21 |
| 1417179029 | Katherine A Lane | Ophthalmology | 51 N 39th St, Philadelphia, PA 19104-2640 | 2007-05-03 |
| 1942357686 | Katherine Jean Lane | Dentist | 5135 Skyline Rd S, Salem, OR 97306-9427 | 2007-01-04 |
| Street Address |
5514 CORPORATE DR STE 120 |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64507-7754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891728408 | Diane E Waddell | Nurse Practitioner | 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507-7754 | 2006-07-08 |
| 1710511258 | Marti Jean Burri | Nurse Practitioner | 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507-7754 | 2020-02-24 |
| 1750870846 | Crystal Lyn Ashburn | Nurse Practitioner | 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507-7754 | 2018-05-04 |
| 1578001038 | Story Peterson | Nurse Practitioner | 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507-7754 | 2017-02-05 |
| 1740358282 | Thomas R. Holda | Internal Medicine | 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507-7754 | 2006-12-01 |
| 1326066408 | James A Direnna | Family Medicine | 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507-7754 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346644044 | Janaha Anderson | Dental Hygienist | 4073 Se Cunningham Rd, St. Joseph, MO 64507 | 2014-10-09 |
| 1518229772 | Andrew L Walker | Radiology | 902 N Riverside Rd Ste 201, Saint Joseph, MO 64507 | 2012-06-13 |
| 1619105731 | Pamela M. Lotz | Clinical Nurse Specialist | 902 No. Riverside Rd, Suite 200, St. Joseph, MO 64507 | 2009-06-26 |
| 1356300735 | St Joseph Oncology Inc | Internal Medicine | 902 No Riverside Rd, Suite 200, St Joseph, MO 64507 | 2006-03-22 |
| 1962478560 | Douglas Chyatte | Neurological Surgery | 802 N Riverside Rd Ste 120, Saint Joseph, MO 64507 | 2006-02-24 |
| 1073089546 | Chaz Caleb Johnson | Physical Therapist | 5506 Corporate Dr Ste 1800, Saint Joseph, MO 64507 | 2018-10-22 |
| 1295228344 | Julie Odonnell Phd LLC | Clinic/Center | 708 S Woodbine Rd Ste A, Saint Joseph, MO 64507 | 2018-06-13 |
| 1912369695 | Luke Nathan Prest | Pediatrics | 902 N Riverside Rd Ste 100, Saint Joseph, MO 64507 | 2016-03-22 |
| 1396007894 | Brian Wright Roe | Internal Medicine | 5514 Corporate Dr Ste 150, Saint Joseph, MO 64507 | 2012-06-11 |
| 1861873952 | Edison Derr II | Specialist/Technologist | 2214 Maple St, Saint Joseph, MO 64507-1413 | 2015-06-15 |
| Find all providers in zip 64507 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399681 | Aryn Fidler | Nurse Practitioner | 2212 Shamrock Ln, Saint Joseph, MO 64505-1158 | 2020-09-08 |
| 1306323316 | Camilla Allison Walling | Nurse Practitioner | 1009 West St. Maartens Drive Suite F, Saint Joseph, MO 64506 | 2018-07-23 |
| 1326578600 | Caitlin Copes | Nurse Practitioner | 402 Levee Rd, Saint Joseph, LA 71366-6661 | 2017-06-19 |
| 1013452325 | Teresa Lynn Mead-hahn | Nurse Practitioner | 2922 Angelique St, Saint Joseph, MO 64501-3437 | 2016-12-21 |
| 1922426519 | Julie Turner | Nurse Practitioner | 3502 N 7th St, Saint Joseph, MO 64505-2937 | 2014-04-01 |
| 1235552977 | Ronda Sue Damgar | Nurse Practitioner | 802 N Riverside Rd Ste 200, Saint Joseph, MO 64507-2553 | 2014-01-31 |
| 1629356142 | Image Specialties, L.L.C. | Nurse Practitioner | 5213 Frederick Ave, Saint Joseph, MO 64506-3263 | 2011-08-01 |
| 1629362645 | Elizabeth Ann Sullivan | Nurse Practitioner | 3915 Sherman Ave, Saint Joseph, MO 64506-3649 | 2011-06-07 |
| 1497051171 | Linda Louise Gerhardt | Nurse Practitioner | 5210 Belt Highway, Saint Joseph, MO 64506-1211 | 2011-01-28 |
| 1124343074 | Jayna J. Monical | Nurse Practitioner | 1510 Duncan St, Saint Joseph, MO 64503-2600 | 2010-04-05 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 64507 |
Please comment or provide details below to improve the information on MISS KATHERINE ANNE 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.