Individual provider Active NPI

Lane Marie Knight, NP

  • Family Nurse Practitioner
  • East Syracuse, NY
National Provider Identifier
1235730102
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F346223-01 Issued in NY
Practice address
5000 Brittonfield Parkway Suitea 130
East Syracuse, NY 13057-1305
Phone
(315) 634-5550
NPI assigned
Nov 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F346223-01 NY Primary

Addresses

Primary practice location

5000 Brittonfield Parkway Suitea 130
East Syracuse, NY 13057-1305

Mailing address

5000 Brittonfield Pkwy # 130
East Syracuse, NY 13057-9226
Phone (315) 634-5550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210924000506 NY Practitioner - Nurse Practitioner 3971900572 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of Ny Upstate Medical University, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cny Neurological Consulting PLLCGroup PAC ID 9234152422, 4 clinicians

Practice addresses (Care Compare)

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F346223-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cny Neurological Consulting PLLC CurrentSince May 2, 2022 Accepting new patients
North Medical PC Current Accepting new patients
St Josephs Medical PC CurrentSince Sep 14, 2021 Accepting new patients

Locations

5000 Brittonfield Pkwy
#A130
East Syracuse, NY 13057

5000 Brittonfield Pkwy
Bldg A
East Syracuse, NY 13057

5000 Brittonfield Pkwy
Ste A116
East Syracuse, NY 13057
Phone (315) 634-5550

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

104 Union Ave
Ste 801
Syracuse, NY 13203
Phone (315) 422-4983

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

Interoperability endpoints

  • Direct secure messaging: knight.np@cnyneuro.medentdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1235730102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BRITTONFIELD PKWY # 130",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579226",
            "telephone_number": "315-634-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BRITTONFIELD PARKWAY SUITEA 130",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571305",
            "telephone_number": "315-634-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "LANE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F346223-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

Verify at the official NPI Registry.