Active NPI
Sara K Lane, MD
- Pediatrics Physician
- Estero, FL
National Provider Identifier
1386806727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME 111008
- Practice address
- 9260 Estero Park Commons Blvd Ste 100
Estero, FL 33928-6468 - Phone
- (239) 908-3593
- Fax
- (239) 908-3597
- NPI assigned
- Jun 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME 111008 | FL | Primary |
Addresses
Primary practice location
9260 Estero Park Commons Blvd Ste 100
Estero, FL 33928-6468
Mailing address
9260 Estero Park Commons Blvd Ste 100
Estero, FL 33928-6468
Phone (239) 908-3593
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14FZ2 | Other | FL | FL BLUE |
| 004015700 | Medicaid | FL |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 111008 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lane Pediatrics PA | Pediatrics | Current | Accepting new patients |
Locations
9260 Estero Park Commons Blvd
Ste 100
Estero, FL 33928
Phone (239) 908-3593
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Fort Myers, FL
- NPI 1780001420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519862400000",
"number": "1386806727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9260 ESTERO PARK COMMONS BLVD STE 100",
"city": "ESTERO",
"state": "FL",
"postal_code": "339286468",
"telephone_number": "239-908-3593",
"fax_number": "239-908-3597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9260 ESTERO PARK COMMONS BLVD STE 100",
"city": "ESTERO",
"state": "FL",
"postal_code": "339286468",
"telephone_number": "239-908-3593",
"fax_number": "239-908-3597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "SARA",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-26",
"last_updated": "2018-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME 111008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL BLUE",
"identifier": "14FZ2",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004015700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Estero, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.