Active NPI
Marcia Lynn Lane, BCRN, BSN
- Registered Nurse
- Puyallup, WA
National Provider Identifier
1639364276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN00120126
- Practice address
- 126 15TH St SE
Puyallup, WA 98372-3409 - Phone
- (253) 445-8663
- NPI assigned
- Sep 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00120126 | WA | Primary |
Addresses
Primary practice location
126 15TH St SE
Puyallup, WA 98372-3409
Mailing address
15436 Bel Red Rd Ste 100
Redmond, WA 98052-5536
Phone (425) 644-4100
Other names 1
- Ms. Marcia Lynn Lane
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
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00120126 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NPI 1023125499 | Past | Accepting new patients |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1639364276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15436 BEL RED RD STE 100",
"city": "REDMOND",
"state": "WA",
"postal_code": "980525536",
"telephone_number": "425-644-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 15TH ST SE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723409",
"telephone_number": "253-445-8663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "MARCIA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "BCRN, BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00120126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARCIA",
"last_name": "LANE",
"middle_name": "LYNN",
"prefix": "MS.",
"credential": "RN, BSN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.