Active NPI
Mary Elizabeth Lane, WHNP-BC, MSN
- Obstetrics & Gynecology Nurse Practitioner
- Greenville, SC
National Provider Identifier
1295130839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 19119
- Practice address
- 1350A Cleveland St
Greenville, SC 29607-2408 - Phone
- (864) 455-1600
- NPI assigned
- Oct 24, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 19119 | SC | Primary |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 0024173336 | VA |
Addresses
Primary practice location
1350A Cleveland St
Greenville, SC 29607-2408
Mailing address
1181 First Colonial Rd
Ste 200
Virginia Beach, VA 23454-2437
Phone (757) 425-1600
Other practice location 1
1181 First Colonial Rd
Ste 200
Virginia Beach, VA 23454-2437
Phone (757) 425-1600
Other names 1
- Mary Elizabeth Yarbro
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)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19119 | SC | MD | Obstetrics & Gynecology Nurse Practitioner |
| 0024173336 | VA | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566172800000",
"number": "1295130839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1181 FIRST COLONIAL RD",
"address_2": "STE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234542437",
"telephone_number": "757-425-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350A CLEVELAND ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296072408",
"telephone_number": "864-455-1600"
}
],
"practiceLocations": [
{
"address_1": "1181 First Colonial Rd",
"address_2": "Ste 200",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234542437",
"country_code": "US",
"telephone_number": "757-425-1600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANE",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"credential": "WHNP-BC, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-24",
"last_updated": "2019-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "SC",
"license": "19119",
"primary": true
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "VA",
"license": "0024173336",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "YARBRO",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.