KELLY LANE (NPI# 1952765745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952765745 |
| Entity Type | Individual |
| Full Name | KELLY LANE |
| Credential | PA-C |
| Practice Address |
29 Northwest Blvd Nashua NH 03063-4068 |
| Mailing Address |
Po Box 3677 Nashua NH 03061-3677 |
| Practice Telephone | 6035772273 |
| Practice Fax Number | 6035795191 |
| Mailing Telephone | 6035777900 |
| Mailing Fax Number | 6035777972 |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1164 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427572163 | Kelly Michele Lane | Specialist/Technologist | 300 W Main St Apt 2b, Springport, MI 49284-9517 | 2017-08-02 |
| 1790025526 | Kelly Lane | Registered Nurse | 1327 Garfield Ave, Sidney, OH 45365-1723 | 2013-02-14 |
| 1962439737 | Kelly A Lane | Nurse Practitioner | 147 Parliament Loop Ste 1005, Lake Mary, FL 32746-3560 | 2006-06-27 |
| 1154376192 | Kelly M Lane | Anesthesiologist Assistant | 6326 Hospital Pkwy, Building 1000, Suite 111, Johns Creek, GA 30097 | 2006-05-24 |
| 1225594005 | Kelly Lane | Counselor | 7821 N Dale Mabry Hwy, Tampa, FL 33614-3275 | 2019-02-16 |
| 1740704535 | Kelly Shea Lane | Physical Therapist | 1702 Hillcrest Dr, Bellevue, NE 68005-3652 | 2017-08-02 |
| 1124474119 | Kelly M Lane | Counselor | 501 N Monroe St, Hutchinson, KS 67501-1345 | 2016-05-09 |
| 1538525738 | Kelly Lane | Counselor | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2016-01-05 |
| 1861745440 | Kelly Beakley Lane | Psychologist | 18 N Hanson St, Easton, MD 21601-3176 | 2012-10-19 |
| 1669756375 | Kelly Ann Lane | Licensed Practical Nurse | 2400 S 48th St, Springdale, AR 72762-6683 | 2011-09-30 |
| Street Address |
29 NORTHWEST BLVD |
| City | NASHUA |
| State | NH |
| Zip Code | 03063-4068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952388944 | Susan Elizabeth Gust | Nurse Practitioner | 29 Northwest Blvd, Nashua, NH 03063-4068 | 2005-12-29 |
| 1366053779 | Rachel Haigh-modlinsky | Physical Therapist | 29 Northwest Blvd, Nashua, NH 03063-4068 | 2020-08-11 |
| 1679111728 | Hillary Raimondi | Physical Therapist | 29 Northwest Blvd, Nashua, NH 03063-4068 | 2019-12-19 |
| 1770144917 | Tiffany A Gaudet | Nurse Practitioner | 29 Northwest Blvd, Nashua, NH 03063-4068 | 2019-06-27 |
| 1619534245 | Arianne Koski-klein | Physical Therapist | 29 Northwest Blvd, Nashua, NH 03063-4068 | 2019-05-20 |
| 1568938827 | Rachel L Herbert | Occupational Therapist | 29 Northwest Blvd, Nashua, NH 03063-4068 | 2018-10-15 |
| 1043791833 | Vanessa C Ulrich | Social Worker | 29 Northwest Blvd, Nashua, NH 03063 | 2018-08-28 |
| 1306325568 | Sierra Renee Jewett | Nurse Practitioner | 29 Northwest Blvd, Nashua, NH 03063-4068 | 2018-08-08 |
| 1295228401 | Kathryn Ann Winslow | Registered Nurse | 29 Northwest Blvd, Nashua, NH 03063-4068 | 2018-06-12 |
| 1801312475 | Brian Joseph O'hearn Jr. | Nurse Practitioner | 29 Northwest Blvd, Nashua, NH 03063 | 2017-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770073298 | Eye Practice of Nashua Pllc | Optometrist | 451 Amherst St Ste 102, Nashua, NH 03063 | 2018-05-10 |
| 1801254552 | Lindsay Arel | Occupational Therapist | 547 Amherst St Ste 204, Nashua, NH 03063 | 2016-02-09 |
| 1447519103 | Dental Health Solutions of Nashua | Dentist | Zero Profile Circle, Nashua, NH 03063 | 2012-05-15 |
| 1801196332 | Greater Nashua Council On Alcoholism, Inc. | Counselor | 615 Amherst Street, Nashua, NH 03063 | 2010-11-01 |
| 1275846123 | Nancy M Chow | Pharmacist | 145 Amhurst St, Nashua, NH 03063 | 2010-07-21 |
| 1629258025 | Sara-britt Guinta | Physician Assistant | 565 Amherst St, Nashua, NH 03063 | 2007-11-14 |
| 1104954403 | Kelly A Fitzgibbons | Dentist | 2 Cellu Drive, Nashua, NH 03063 | 2007-03-01 |
| 1609922731 | Kara Myers | Occupational Therapist | 547 Amherst St., Suite 204, Nashua, NH 03063 | 2007-01-25 |
| 1720147176 | Todd Ratcliffe | Physical Therapist | 522 Amherst St Ste 22, Nashua, NH 03063 | 2006-12-08 |
| 1043385073 | Deepak V Shinde | Dentist | 2 Cellu Drive Suite #107, Allcare Dental, Nashua, NH 03063 | 2006-11-22 |
| Find all providers in zip 03063 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336797752 | Kendra Padfield | Physician Assistant | 76 Allds St Ste 1, Nashua, NH 03060-4789 | 2019-08-28 |
| 1700284908 | Rhyannon Gonzalo | Physician Assistant | 8 Prospect St # 2, Nashua, NH 03060-3925 | 2014-12-21 |
| 1255605069 | Mark P. Herron | Physician Assistant | 112 Spit Brook Rd, Nashua, NH 03062-2711 | 2012-02-27 |
| 1487812780 | Michelle Ryder | Physician Assistant | 17 Riverside St Ste 105, Nashua, NH 03062 | 2008-05-23 |
| 1629258025 | Sara-britt Guinta | Physician Assistant | 565 Amherst St, Nashua, NH 03063 | 2007-11-14 |
| 1205944972 | Amy Jo Angel Bodensteiner | Physician Assistant | 80 Amhearst Boulevard, Suite 400, Nashua, IA 50658-9712 | 2006-08-25 |
| 1750393526 | Sara Ryan Lupien | Physician Assistant | 21 E Hollis Street, Nashua, NH 03060-2928 | 2006-08-12 |
| 1295377992 | Catalina Keeffe | Physician Assistant | 17 Prospect St, Nashua, NH 03060-3956 | 2019-10-14 |
| 1295383826 | Diane Mckiernan | Physician Assistant | 8 Prospect St, Nashua, NH 03060-3925 | 2019-08-27 |
| 1952968182 | Jennifer Rose Carignan | Physician Assistant | 8 Prospect St, Nashua, NH 03060-3925 | 2019-05-22 |
| Find all providers in NASHUA | ||||
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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.