Individual provider Active NPI

Karen Lane, MSN

  • Pain Management Registered Nurse
  • San Diego, CA
National Provider Identifier
1316287436
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Management Registered NurseTaxonomy code 163WP0000X
License
311949 Issued in CA
Practice address
4305 Gesner St Ste 101
San Diego, CA 92117-6673
Phone
(619) 806-0928
Fax
(619) 523-4099
NPI assigned
Feb 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Management Registered Nurse 163WP0000X 311949 CA Primary

Addresses

Primary practice location

4305 Gesner St Ste 101
San Diego, CA 92117-6673

Mailing address

3040 Udall St
San Diego, CA 92106-1654
Phone (619) 806-0928

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)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
311949CAMDPain Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1316287436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 UDALL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921061654",
            "telephone_number": "619-806-0928",
            "fax_number": "619-523-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 GESNER ST STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176673",
            "telephone_number": "619-806-0928",
            "fax_number": "619-523-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "KAREN",
        "credential": "MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "CA",
            "license": "311949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.