Active NPI
Tracy Nicole Lane, DPH
- Pharmacist
- Chattanooga, TN
National Provider Identifier
1083102495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0000011185
- Practice address
- 8101 E Brainerd Rd
Chattanooga, TN 37421-4302 - Phone
- (423) 508-1194
- NPI assigned
- May 1, 2018
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0000011185 | TN | Primary |
Addresses
Primary practice location
8101 E Brainerd Rd
Chattanooga, TN 37421-4302
Mailing address
3821 Lerch St
Chattanooga, TN 37411-4531
Phone (423) 605-0367
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 |
|---|---|---|---|
| 0000011185 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525132800000",
"number": "1083102495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3821 LERCH ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374114531",
"telephone_number": "423-605-0367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8101 E BRAINERD RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374214302",
"telephone_number": "423-508-1194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "TRACY",
"middle_name": "NICOLE",
"credential": "DPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-01",
"last_updated": "2018-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000011185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.