Active NPI
Carrie Shayne Lane, WHCNP
- Women's Health Nurse Practitioner
- Amarillo, TX
National Provider Identifier
1700965795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 563362
- Practice address
- 1501 S Taylor St
Amarillo, TX 79101-4307 - Phone
- (806) 372-8731
- Fax
- (806) 372-8746
- NPI assigned
- Nov 2, 2006
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 563362 | TX | Primary |
Addresses
Primary practice location
1501 S Taylor St
Amarillo, TX 79101-4307
Mailing address
6506 Nicholas Dr
Amarillo, TX 79109-7119
Phone (806) 372-8731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15389501 | Medicaid | TX |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 563362 | TX | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1700965795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6506 NICHOLAS DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791097119",
"telephone_number": "806-372-8731",
"fax_number": "806-372-8746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S TAYLOR ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791014307",
"telephone_number": "806-372-8731",
"fax_number": "806-372-8746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "CARRIE",
"middle_name": "SHAYNE",
"name_prefix": "Mrs.",
"credential": "WHCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "563362",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "15389501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.