Active NPI
Angela J Lane
- Radiologic Technologist
- Lynnwood, WA
National Provider Identifier
1831333038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- RT00007817
- Practice address
- 6925 216TH St SW Ste P
Lynnwood, WA 98036-7358 - Phone
- (503) 657-8663
- Fax
- (503) 723-3180
- NPI assigned
- May 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | RT00007817 | WA | Primary |
Addresses
Primary practice location
6925 216TH St SW Ste P
Lynnwood, WA 98036-7358
Mailing address
PO Box 66500
Portland, OR 97290-6500
Phone (503) 657-8663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT00007817 | WA | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241136000000",
"number": "1831333038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 66500",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972906500",
"telephone_number": "503-657-8663",
"fax_number": "503-723-3180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6925 216TH ST SW STE P",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980367358",
"telephone_number": "503-657-8663",
"fax_number": "503-723-3180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "ANGELA",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-01",
"last_updated": "2009-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "WA",
"license": "RT00007817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.