Amy Marie Lane, M.S., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2002028924 Issued in MO

Practice address

4200 NE Suwannee Dr
Lees Summit, MO 64064-1381

Phone

(816) 686-7708

NPI assigned

May 10, 2006

Reactivated

Mar 17, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1023332269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 NE SUWANNEE DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641381",
            "telephone_number": "816-686-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 NE SUWANNEE DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641381",
            "telephone_number": "816-686-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "replacement_npi": "1023332269",
        "last_name": "LANE",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2010-03-31",
        "deactivation_date": "2010-01-28",
        "reactivation_date": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2002028924",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "2003",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336016308",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100449020A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tron Yuri Lally, O.D.
• Isabelle Lamb
• Joseph Lammert, M.D.
• Elizabeth Lancaster
• Landmark Medical of Missouri PC
• Holly R Lane, D.C.
• Nicole R Lane, CRNA
• Tina Nichole Lane, FNP
• Naya Lang
• Scott Alan Langford, M.D.

• Audiologist in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Audiologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.