Beth Bailey Lane

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

24152 Issued in TN

Practice address

200 Med Tech Pkwy Ste 108
Johnson City, TN 37604-2278

Phone

(423) 915-5033

NPI assigned

Dec 31, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Beth Anne Bailey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1245702299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MED TECH PKWY STE 108",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042278",
            "telephone_number": "423-915-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MED TECH PKWY STE 108",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042278",
            "telephone_number": "423-915-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "BETH",
        "middle_name": "BAILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-31",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "183464",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "BAILEY",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Lancaster, LCSW, Q-SAP
• Ryan M Landis, MD
• Alicia B Landry, PA-C
• Paul B Landry III, PAC
• Amber Lane, RN
• Beulah Lane, RN
• Bryce Alexander Lane
• Elizabeth A Lane, R.D.
• Helen Morris Lane, PH. D
• Julie P. Lane, PHARM.D.

• Family Nurse Practitioner in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.

Verify at the official NPI Registry.