Lane Jhase Waller

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

720 Saint John St
Lafayette, LA 70501-6706

Phone

(337) 237-2090

NPI assigned

Feb 3, 2026

Sex

Male

Sole proprietor

No

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.

• The Extra Mile, Region IV, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Scott, LA
  • NPI 1154016475
  NPD (past)
• The Extra Mile, Region IV, Inc.

  • Community/Behavioral Health Agency
  • Lafayette, LA
  • NPI 1962777268
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 3, 2026.

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1831049261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SAINT JOHN ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016706",
            "telephone_number": "337-237-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SAINT JOHN ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016706",
            "telephone_number": "337-237-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLER",
        "first_name": "LANE",
        "middle_name": "JHASE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Wallace, PHD, LPC-S, NCC
• Dionne Wallace
• Eli William Wallace, OT
• Maria Hebert Wallace, LCSW
• Sarah L Wallace, NP
• Billie Sue Wallis, LCSW
• Judy Werger Wallis, MSW
• Kelsea A Walls
• Shavonne Mona' Walls, APRN, FNP-C
• Walter a. Ramke, Jr.

• All providers in Lafayette, LA
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.