Kim Rae Lane, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

36341 Issued in CO

Practice address

630 15TH Ave
Suite 200
Longmont, CO 80501-2700

Phone

(303) 776-5820

Fax

(303) 776-3302

NPI assigned

Sep 19, 2005

Reactivated

Apr 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

University of Texas Southwestern Medical School at Dallas, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Longmont United Hospital Hospital, Longmont, CO, CCN 060003
• Longs Peak Hospital Hospital, Longmont, CO, CCN 060128

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FEIBAA/Endpoint/FEIBAA

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.

• Women'S Health Wise

  • Specialist
  • Longmont, CO
  • NPI 1205006533

  CO, Specialist

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Longmont United Hospital

  • General Acute Care Hospital
  • Longmont, CO
  • NPI 1366465866

  Hospital

  Care Compare affiliation
• Longs Peak Hospital

  • General Acute Care Hospital
  • Longmont, CO
  • NPI 1154876985

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1477548188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 15TH AVE",
            "address_2": "SUITE 200",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012700",
            "telephone_number": "303-776-5820",
            "fax_number": "303-776-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 15TH AVE",
            "address_2": "SUITE 200",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012700",
            "telephone_number": "303-776-5820",
            "fax_number": "303-776-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "KIM",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2010-07-08",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "36341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77633024",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Lammers
• McKenzie Lancaster
• Jerome Landblom, MD
• Jenny Landis, RPH
• Lane P Bunker, DC, PC
• Sarah Ren'Ee Lane, LMT
• Kyle Lanier
• Clint Steven Lanzen, D.C.
• Lara Henderson Bodywork LLC
• Larimore Chiropractic & Massage LLC

• All providers in Longmont, CO
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.