Individual provider Active NPI

Britta K Lane, NP

  • Acute Care Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1508552670
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RNP290443 Issued in AZ
Practice address
618 E Royal Palm SQ S
Phoenix, AZ 85020-3638
Phone
(602) 717-3996
NPI assigned
Apr 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RNP290443 AZ Primary

Addresses

Primary practice location

618 E Royal Palm SQ S
Phoenix, AZ 85020-3638

Mailing address

618 E Royal Palm SQ S
Phoenix, AZ 85020-3638
Phone (602) 717-3996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230502002567 AZ Practitioner - Nurse Practitioner 2163887845 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RNP290443AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Acute Medical Services 1 PC CurrentSince Oct 1, 2023 Accepting new patients

Locations

5227 E Carefree Hwy
Cave Creek, AZ 85331
Phone (602) 824-3900

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

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.

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1508552670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 E ROYAL PALM SQ S",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203638",
            "telephone_number": "602-717-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 E ROYAL PALM SQ S",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203638",
            "telephone_number": "602-717-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "BRITTA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "RNP290443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.