MS. LANE LOUISE PETRI (NPI# 1811998644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811998644 |
| Entity Type | Individual |
| Full Name | MS. LANE LOUISE PETRI |
| Credential | A/GNP |
| Practice Address |
1921 W Hospital Dr Tucson AZ 85704-7806 |
| Practice Telephone | 5205445210 |
| Practice Fax Number | 5205445355 |
| Mailing Telephone | 5205445210 |
| Mailing Fax Number | 5205445355 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN053461 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 790795 | 05 |
| Street Address |
1921 W HOSPITAL DR |
| City | TUCSON |
| State | AZ |
| Zip Code | 85704-7806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669037560 | Ishmail Abass Sillah | Registered Nurse | 1921 W Hospital Dr, Tucson, AZ 85704-7806 | 2019-05-06 |
| 1316421480 | Adam Weidenhammer Md LLC | Physical Medicine & Rehabilitation | 1921 W Hospital Dr, Tucson, AZ 85704-7806 | 2018-09-24 |
| 1194128710 | Western Physiatry, PC | Rehabilitation Practitioner | 1921 W Hospital Dr, Tucson, AZ 85704-7806 | 2014-09-28 |
| 1043557358 | Lynn Casey Boysel, D.o. Pllc. | Physical Medicine & Rehabilitation | 1921 W Hospital Dr, Tucson, AZ 85704-7806 | 2013-01-07 |
| 1023306735 | Susan Bulen Md Plc | Physical Medicine & Rehabilitation | 1921 W Hospital Dr, Tucson, AZ 85704-7806 | 2011-07-14 |
| 1417267519 | Ashley Robin Thompson | Occupational Therapist | 1921 W Hospital Dr, Tucson, AZ 85704-7806 | 2010-10-07 |
| 1427378843 | Adam David Weidenhammer | Physical Medicine & Rehabilitation | 1921 W Hospital Dr, Tucson, AZ 85704-7806 | 2010-06-08 |
| 1649429606 | Judith M Kroese | Clinical Neuropsychologist | 1921 W Hospital Dr, Tucson, AZ 85704-7806 | 2008-09-15 |
| 1326214925 | Taylor Joan Reed | Physical Therapist | 1921 W Hospital Dr, Tucson, AZ 85704-7806 | 2008-05-02 |
| 1912179367 | Carol Lee Phelan-smith | Occupational Therapist | 1921 W Hospital Dr, Healthsouth Rehab Hospital, Tucson, AZ 85704-7806 | 2008-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176616 | Kimberly Nehls Remblake | Pharmacist | 6488 N Oracle Road, Tuson, AZ 85704 | 2020-08-28 |
| 1114562311 | Sarah Laing | Music Therapist | 314 E Cambridge Drive, Tucson, AZ 85704 | 2019-11-12 |
| 1750876587 | Stephanie Ann Schmid | Nurse Practitioner | 1631 W Ina Rd, Tucson, AZ 85704 | 2018-06-25 |
| 1619468063 | Barnet Dulaney Perkins Eye Center II Pllc | Durable Medical Equipment & Medical Supplies | 10195 N Oracle Rd Ste 125, Oro Valley, AZ 85704 | 2018-05-22 |
| 1639682073 | Tucson Family and Geriatric Medicine LLC | Clinic/Center | 6867 N Oracle Rd Ste 157, Tucson, AZ 85704 | 2017-11-07 |
| 1215448790 | Janelle K Borg | Physical Therapist | 7530 N Oracle Rd Ste 100, Tucson, AZ 85704 | 2017-10-23 |
| 1982122396 | Wellbeing Institute | Pathology | 6879 N. Oracle Road, Suite 125, Tucson, AZ 85704 | 2017-09-06 |
| 1245777481 | Sonora Behavioral Health Hospital, LLC | Clinic/Center | 2001 West Orange Grove Road, Suite 114, 112, 102, Tucson, AZ 85704 | 2017-01-26 |
| 1902252752 | Conrad Drinkwater | Dentist | 9000 N Oracle Rd Ste B, Oro Valley, AZ 85704 | 2016-05-11 |
| 1912375668 | Adrianna Rodriguez | Pharmacist | 4701 N. Stone Ave, Tucson, AZ 85704 | 2015-09-11 |
| Find all providers in zip 85704 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605231 | Sadie Franco | Nurse Practitioner | 8581 N Rolling River Dr, Tucson, AZ 85743-1451 | 2020-06-30 |
| 1356777395 | Carla Marie Pease | Nurse Practitioner | 3900 N Sabino Canyon Rd, Tucson, AZ 85750-2130 | 2013-09-23 |
| 1447691464 | Elizabeth Mary Benyo | Nurse Practitioner | 4379 N Placita De Sandra, Tucson, AZ 85718-7422 | 2013-07-08 |
| 1073801650 | Valerie Ann Bradley | Nurse Practitioner | 7910 E Speedway Blvd, Tucson, AZ 85710-1650 | 2011-07-15 |
| 1780867507 | Kathi Long | Nurse Practitioner | 7525 S Avenida De Belleza, Tucson, AZ 85747-9707 | 2007-12-14 |
| 1861672081 | Sonia Jean Shoup | Nurse Practitioner | 14901 E Rincon Creek Ranch Rd, Tucson, AZ 85747 | 2007-11-05 |
| 1639364599 | Beth Edna Lee | Nurse Practitioner | 3800 W Camino Nuestro, Tucson, AZ 85745-9755 | 2007-09-12 |
| 1326174525 | Amy Louise Ginn | Nurse Practitioner | 7740n Oracle Rd, Tucson, AZ 85704-6313 | 2007-02-24 |
| 1629133483 | Sandra Lee Johnson | Nurse Practitioner | 1225 East Lowell Street, Tucson, AZ 85721-0095 | 2006-12-22 |
| 1578647442 | Judy Stein | Nurse Practitioner | 7520 N Oracle Rd Ste 100, Catalina Pointe Arth & Rheumatology Specialists, PC, Tucson, AZ 85704-4452 | 2006-10-25 |
| Find all providers in TUCSON | ||||
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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.