Marshell Lane, NURSE

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2010037468 Issued in MO

Practice address

760 S Kingshighway St Ste F
Cape Girardeau, MO 63703-7676

Phone

(573) 335-4333

NPI assigned

Jul 18, 2019

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

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.

• Metro Treatment of Missouri LP

  • Methadone Clinic
  • Cape Girardeau, MO
  • NPI 1043584402
  NPD (past)
• Metro Treatment of Missouri LP

  • Methadone Clinic
  • Saint Charles, MO
  • NPI 1538658380
  NPD (past)

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1811540966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 S KINGSHIGHWAY ST STE F",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637037676",
            "telephone_number": "573-335-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 S KINGSHIGHWAY ST STE F",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637037676",
            "telephone_number": "573-335-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "MARSHELL",
        "credential": "NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "2010037468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landmark Rehabilitation Hospital of Cape Girardeau, LLC
• Melissa Arlane Landreth, RNC, IBCLC
• Miranda Landreth, LPN
• Joshua Craig Lane, LMSW
• Kerri Michelle Lane, RN, BSN, FNP-C
• Aaron Lang, M.D.
• Jennifer Lang, APN, CNM
• Lana Dalton Lange, PT
• Makenzie Sue Larose, NP
• Daphne Marie Larson

• Licensed Practical Nurse in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Licensed Practical Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.