Lilliam Alvarez Lane, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN244640 Issued in GA

Practice address

3626 Old Oakwood Rd
Oakwood, GA 30566-2805

Phone

(904) 647-0490

NPI assigned

Oct 21, 2019

Last updated

Mar 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Georgia Community Hospice LLC

  • Community Based Hospice Care Agency
  • Stockbridge, GA
  • NPI 1902496722
  NPD
• Lenox Hospice, LLC

  dba Lenox Hospice

  • Community Based Hospice Care Agency
  • Norcross, GA
  • NPI 1629732953
  NPD

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1528601630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 EAGLES LANDING PKWY # 842",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 OLD OAKWOOD RD",
            "city": "OAKWOOD",
            "state": "GA",
            "postal_code": "305662805",
            "telephone_number": "904-647-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ LANE",
        "first_name": "LILLIAM",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "244640",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN244640",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "244640",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Urology Institute of Georgia LLC
• Deborah E Agbator, NP
• Paul S Ahn, D.D.S.
• Align Chiropractic Clinic & Associates, P.C.
• Alternative Life, Inc
• Grant Austin, CPED
• Erik Marcus Bates, LCSW
• Benjamin Martin DMD PC
• Joseph Stephen Bennett Jr., D.C.
• Lauren Elizabeth Bess

• Nurse Practitioner in Oakwood, GA
• Providers in Oakwood, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.