Brandice J Lane

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2011035895 Issued in MO

Practice address

18650 County Road 287
Savannah, MO 64485-2221

Phone

(816) 387-3754

NPI assigned

Nov 1, 2018

Last updated

Nov 1, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1801363387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18650 COUNTY ROAD 287",
            "city": "SAVANNAH",
            "state": "MO",
            "postal_code": "644852221",
            "telephone_number": "816-387-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18650 COUNTY ROAD 287",
            "city": "SAVANNAH",
            "state": "MO",
            "postal_code": "644852221",
            "telephone_number": "816-387-3754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "BRANDICE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2011035895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Heckman, PHARM. D.
• Samantha Hindupur, DDS
• Hospice Preferred Choice, Inc. (AseraCare Hospice)
• Danielle Leann Kneib, MSW, LCSW
• Katey E Kroeger, MS CF-SLP
• Katherine Anne Lane, FNP
• William Jeffrey Langdon
• Laverna Manor Health & Rehabilitation LLC
• Laverna Senior Living LLC
• Laverna Village Nursing Home Inc.

• Physical Therapy Assistant in Savannah, MO
• Providers in Savannah, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.