Stephanie Lane

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86062703

Practice address

142 Shackleford Rd
Meridianville, AL 35759-1623

Phone

(256) 679-3692

NPI assigned

Oct 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1633737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633737600000",
    "number": "1770245557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 SHACKLEFORD RD",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357591623",
            "telephone_number": "256-679-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 SHACKLEFORD RD",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357591623",
            "telephone_number": "256-679-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-09",
        "last_updated": "2021-10-09",
        "certification_date": "2021-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86062703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Meridianville",
            "affiliation": "N",
            "endpointDescription": "Home",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "142 Shackleford Rd",
            "city": "Meridianville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "357591623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Igg Care Solutions
• Charles Alexander Ousborne Jackson Jr.
• Emily Huie Klimek, RDN, LDN
• Ashley Faye Knight, MS,RDN
• Daniel Scott Krautter, DO
• Hilary H Lash, M.D.
• Jennifer Henderson Liner, PHARMD
• Bennie Edward Maharrey III, PHARMD
• Darin Mayer, ATC,LAT
• Amy McMahon

• Registered Dietitian in Meridianville, AL
• Providers in Meridianville, AL by specialty
• Registered Dietitian in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2021; 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.