Nicole Lowery Lanman, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MDL9304 Issued in TX

Practice address

501 Woodbridge Parkway
Wylie, TX 75098

Phone

(972) 442-2300

Fax

(972) 442-2180

NPI assigned

Aug 10, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dallas Physician Medical Services for Children Inc

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1194153650
  Medicare reassignment NPD
• Dallas Physician Medical Services for Children Inc

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1558407908
  NPD
• Pediatric Associates of Wylie, P.a.

  • Pediatrics Physician
  • Wylie, TX
  • NPI 1215068309
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1063413201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750980125",
            "telephone_number": "972-442-2300",
            "fax_number": "972-442-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WOODBRIDGE PARKWAY",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098",
            "telephone_number": "972-442-2300",
            "fax_number": "972-442-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANMAN",
        "first_name": "NICOLE",
        "middle_name": "LOWERY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "MDL9304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174063101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kroger Texas LP
• Vinay Kumar, DDS
• Lagniappe Counseling & Community Services, PLLC
• Co Quoc Lai, PHARM.D.
• Jayne A Langdon, FNP-BC
• Lapp
• Allison Lazewski
• Samantha Michelle Lebouef
• Melanie Dianna Lee, BCBA
• Amy Elizabeth Leggio

• Pediatrics Physician in Wylie, TX
• Providers in Wylie, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.