Individual provider Active NPI

Jennifer Lane

  • Nurse Practitioner
  • Hudson, FL
National Provider Identifier
1790149391
Registry record updated Apr 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9294413 Issued in FL
Practice address
7529 Medical Dr
Hudson, FL 34667-6502
Phone
(727) 862-6524
NPI assigned
Apr 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9294413 FL Primary

Addresses

Primary practice location

7529 Medical Dr
Hudson, FL 34667-6502

Mailing address

611 Fathom CT
Tampa, FL 33602-5796
Phone (813) 477-9885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170109000491 FL Practitioner - Nurse Practitioner 8921389883 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9294413FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brain and Spine Neuroscience Institute, LLC CurrentSince Jan 7, 2025 Accepting new patients
Neuspine Institute LLC CurrentSince Apr 7, 2019 Accepting new patients
Brain and Spine Neuroscience Institute, LLC Current Accepting new patients
Neuspine Institute LLC CurrentSince Apr 7, 2019 Accepting new patients

Locations

510 Vonderburg Dr
Ste 213
Brandon, FL 33511
Phone (813) 347-8483

17849 Hunting Bow Cir
Ste 101
Lutz, FL 33558
Phone (813) 336-4461

3519 Palm Harbor Blvd
Ste B
Palm Harbor, FL 34683
Phone (813) 336-4461

2590 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 219-3269

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460160000000",
    "number": "1790149391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 FATHOM CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025796",
            "telephone_number": "813-477-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7529 MEDICAL DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676502",
            "telephone_number": "727-862-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-09",
        "last_updated": "2016-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9294413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.