Active NPI
Janice Lynn Lazear, CRNP
- Nurse Practitioner
- Johnson City, TN
National Provider Identifier
1699921981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 21585
- Practice address
- 202 W Fairview Ave
Johnson City, TN 37604-5611 - Phone
- (423) 439-4225
- Fax
- (423) 439-7371
- NPI assigned
- Aug 18, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R117674 | MD | |
| Nurse Practitioner | 363L00000X | 21585 | TN | Primary |
Addresses
Primary practice location
202 W Fairview Ave
Johnson City, TN 37604-5611
Mailing address
365 Stout Drive
Box 70403
Johnson City, TN 37614
Phone (423) 439-4515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q024045 | Medicaid | TN |
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)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21585 | TN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518739200000",
"number": "1699921981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 STOUT DRIVE",
"address_2": "BOX 70403",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37614",
"telephone_number": "423-439-4515",
"fax_number": "423-439-5780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 W FAIRVIEW AVE",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376045611",
"telephone_number": "423-439-4225",
"fax_number": "423-439-7371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZEAR",
"first_name": "JANICE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-18",
"last_updated": "2018-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R117674",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "21585",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q024045",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.