Thomas Jason Lane, FNP-BC, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

005002027 Issued in NC

Practice address

4011 Westchase Blvd Ste 225
Raleigh, NC 27607-3978

Phone

(919) 828-9937

Fax

(919) 828-4287

NPI assigned

Aug 21, 2006

Last updated

Jan 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jlane@psychiatric-associates-o.direct.kno2fy.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Providence Anesthesiology Associates, P.a.

  • Anesthesiology Physician
  • Charlotte, NC
  • NPI 1396739884
  NPD (past)
• Psychiatric Associates of NC, PA

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1154374825
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1740395466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 WESTCHASE BLVD STE 225",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276073978",
            "telephone_number": "919-828-9937",
            "fax_number": "919-828-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 WESTCHASE BLVD STE 225",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276073978",
            "telephone_number": "919-828-9937",
            "fax_number": "919-828-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "THOMAS",
        "middle_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "005002027",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "005002027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7006352",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John A Lane, MD
• Kathryn Christina Lane, LCMHC
• Lauren Lane, RBT
• Mallory Gray Lane, LCSW-A
• Shania Lane
• Elizabeth Laney, DNP, FNP-BC
• Karen Eileen Laney, OTR
• Annie Lang, LCSW
• John Albert Lang III, MD
• Kristle G Lang, M.ED CCC SLP

• Psychiatric/Mental Health Nurse Practitioner in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.