Active NPI
Monica Lane, FNP-BC
- Nurse Practitioner
- Cedar Park, TX
National Provider Identifier
1033417266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP136343
- Practice address
- 345 Cypress Creek Rd Ste 104
Cedar Park, TX 78613 - Phone
- (512) 336-2777
- Fax
- (512) 336-2778
- NPI assigned
- Mar 11, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP136343 | TX | Primary |
Addresses
Primary practice location
345 Cypress Creek Rd Ste 104
Cedar Park, TX 78613
Mailing address
345 Cypress Creek Rd Ste 104
Cedar Park, TX 78613-4484
Phone (512) 336-2777
Other practice location 1
405 Frederick Rd
Suite 11
Catonsville, MD 21228-4645
Phone (410) 788-4545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP136343 | Other | TX | APNP LICENSE |
Other names 1
- Monica Kim
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336570 | NY | MD | Licensed Practical Nurse |
| AP136343 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Org Medical PLLC | Current | Accepting new patients | |
| Tejas Hearing Aid Center LLC | Past | Accepting new patients | |
| Bukhman MD PC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Brooklyn, NY
- NPI 1053583682
-
- Hearing Aid Equipment
- Round Rock, TX
- NPI 1184084725
-
- Family Medicine Physician
- New York, NY
- NPI 1013025782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1033417266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 CYPRESS CREEK RD STE 104",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786134484",
"telephone_number": "512-336-2777",
"fax_number": "512-336-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 CYPRESS CREEK RD STE 104",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "78613",
"telephone_number": "512-336-2777",
"fax_number": "512-336-2778"
}
],
"practiceLocations": [
{
"address_1": "405 Frederick Rd",
"address_2": "Suite 11",
"address_purpose": "LOCATION",
"city": "Catonsville",
"state": "MD",
"postal_code": "212284645",
"country_code": "US",
"telephone_number": "410-788-4545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANE",
"first_name": "MONICA",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-11",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP136343",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APNP LICENSE",
"identifier": "AP136343",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MONICA",
"last_name": "KIM",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.