Brandi Lynn Lane, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

C002958 Issued in AR

Practice address

3394 N Futrall Dr Ste 2
Fayetteville, AR 72703-3937

Phone

(918) 527-4824

Fax

(866) 635-3634

NPI assigned

Jan 10, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1194901058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 SHORES AVE",
            "city": "CAVE SPRINGS",
            "state": "AR",
            "postal_code": "727188434",
            "telephone_number": "918-527-4824",
            "fax_number": "866-635-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3394 N FUTRALL DR STE 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033937",
            "telephone_number": "918-527-4824",
            "fax_number": "866-635-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "BRANDI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "0085276",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C002958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200130410A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colinda Landers, MHPP
• Jason Maschal Landers, DDS, MS
• Emilee Landis, DPT
• Antonio P Landry, CRNA
• Beverly Joye Lane, PT
• Megan Elise Lane, APRN - FNP-C, RN
• Meredith Lane, LCSW
• Jacquelyn Rae Lange-Halley, MD
• Kelly Langham
• Kerri Lee Langham, APRN

• Certified Registered Nurse Anesthetist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.