Individual provider Active NPI

Cayci Denise Lane, NP

  • Pediatric Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1497088553
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APN0000015652 Issued in TN
Practice address
4005 Fountain Valley Dr
Suite 150
Knoxville, TN 37918-5327
Phone
(865) 223-6561
NPI assigned
Sep 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN0000170691 TN
Pediatric Nurse Practitioner 363LP0200X APN0000015652 TN Primary

Addresses

Primary practice location

4005 Fountain Valley Dr
Suite 150
Knoxville, TN 37918-5327

Mailing address

4005 Fountain Valley Dr
Suite 150
Knoxville, TN 37918-5327
Phone (865) 223-6561

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN0000170691TNMDRegistered Nurse
APN0000015652TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc Past Accepting new patients
University Health System, Inc Past Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1497088553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 FOUNTAIN VALLEY DR",
            "address_2": "SUITE 150",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379185327",
            "telephone_number": "865-223-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 FOUNTAIN VALLEY DR",
            "address_2": "SUITE 150",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379185327",
            "telephone_number": "865-223-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "CAYCI",
        "middle_name": "DENISE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000170691",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "APN0000015652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.