Jacqueline Bethany Lane, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

9640014 Issued in FL

Practice address

3905 W Fieldwood CT
Lecanto, FL 34461-8387

Phone

(518) 929-6467

NPI assigned

Jul 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1538730684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 W FIELDWOOD CT",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344618387",
            "telephone_number": "518-929-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 W FIELDWOOD CT",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344618387",
            "telephone_number": "518-929-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "JACQUELINE",
        "middle_name": "BETHANY",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9640014",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "644601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "beautious1068@gmail.com",
            "affiliation": "N",
            "address_1": "80 Sunset Drive",
            "city": "Stuyvesant",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Meredith Lee Kupcho
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• Lecanto FL Opco LLC
• Amy L Lecuona, NP
• Jeffrey C Lee
• Nicholas Joseph Lee

• Registered Nurse in Lecanto, FL
• Providers in Lecanto, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.