Active NPI
Jamie Allison Laneave, CMT, CMCP
- Specialist
- Henrico, VA
National Provider Identifier
1023420387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0019010723
- Practice address
- 4124 E Parham Rd
Henrico, VA 23228-3745 - Phone
- (804) 647-9378
- NPI assigned
- May 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 0019010723 | VA | |
| Specialist | 174400000X | 0019010723 | VA | Primary |
Addresses
Primary practice location
4124 E Parham Rd
Henrico, VA 23228-3745
Mailing address
4124 E Parham Rd
Henrico, VA 23228-3745
Phone (804) 647-9378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0019010723 | VA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400630400000",
"number": "1023420387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4124 E PARHAM RD",
"city": "HENRICO",
"state": "VA",
"postal_code": "232283745",
"telephone_number": "804-647-9378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4124 E PARHAM RD",
"city": "HENRICO",
"state": "VA",
"postal_code": "232283745",
"telephone_number": "804-647-9378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANEAVE",
"first_name": "JAMIE",
"middle_name": "ALLISON",
"name_prefix": "Ms.",
"credential": "CMT, CMCP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-21",
"last_updated": "2014-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "VA",
"license": "0019010723",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0019010723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henrico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.