Amanda Rae Lane, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

3901 SW 20TH Ave Apt 510
Gainesville, FL 32607-4587

Phone

(785) 458-2954

NPI assigned

Aug 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Rae Oakley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Healthful Lane Nutrition LLC

  • Registered Dietitian
  • Minneapolis, MN
  • NPI 1750008132

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1215604137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 UNIVERSITY AVE SE APT 305",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143734",
            "telephone_number": "785-458-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 SW 20TH AVE APT 510",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326074587",
            "telephone_number": "785-458-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "AMANDA",
        "middle_name": "RAE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "OAKLEY",
            "middle_name": "RAE",
            "credential": "MS, RD, LDN, CDCES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ian Landis
• Michael D Landis
• Landmark Therapy Solutions
• Tressie C Landreth, CNM
• Amanda Lane
• Dominic Thomas Lane
• Melissa Diane Lane, LMT
• Timothy T Lane, M.D.
• Zakia Lane
• Desiree Nadine Lanford, OT

• Registered Dietitian in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.