Active NPI
Meliea Ann Lane, FNP
- Family Nurse Practitioner
- Petaluma, CA
National Provider Identifier
1700993334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 6841
- Practice address
- 1456 Professional Dr Ste #405
Petaluma, CA 94954 - Phone
- (707) 769-7500
- Fax
- (707) 769-7570
- NPI assigned
- Aug 23, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6841 | CA | Primary |
Addresses
Primary practice location
1456 Professional Dr Ste #405
Petaluma, CA 94954
Mailing address
1456 Professional Dr Ste #405
Petaluma, CA 94954
Phone (707) 769-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 268070 | Other | CA | REGISTERED NURSE LICENSE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents Univ of California UCSF | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1124439807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365379200000",
"number": "1700993334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1456 PROFESSIONAL DR STE #405",
"city": "PETALUMA",
"state": "CA",
"postal_code": "94954",
"telephone_number": "707-769-7500",
"fax_number": "707-769-7570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1456 PROFESSIONAL DR STE #405",
"city": "PETALUMA",
"state": "CA",
"postal_code": "94954",
"telephone_number": "707-769-7500",
"fax_number": "707-769-7570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "MELIEA",
"middle_name": "ANN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2013-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "6841",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE LICENSE",
"identifier": "268070",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.