Individual provider Active NPI

Cody Marie Lane, AP

  • Acupuncturist
  • Yulee, FL
National Provider Identifier
1841924495
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
4373 Issued in FL
Practice address
463155 State Road 200 Ste 7
Yulee, FL 32097-5506
Phone
(715) 252-7390
NPI assigned
Jul 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 4373 FL Primary

Addresses

Primary practice location

463155 State Road 200 Ste 7
Yulee, FL 32097-5506

Mailing address

463155 Sr 200
Suite #7
Yulee, FL 32097
Phone (715) 252-7390

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

LicenseStateTypeSpecialty
4373FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Eir Integrative Health LLC Acupuncturist CurrentSince Sep 28, 2025 Accepting new patients

Locations

463155 State Road 200
Ste 7
Yulee, FL 32097
Phone (516) 395-8224

Organizations & group practices 1

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": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1841924495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463155 SR 200",
            "address_2": "SUITE #7",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "32097",
            "telephone_number": "715-252-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463155 STATE ROAD 200 STE 7",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320975506",
            "telephone_number": "715-252-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "CODY",
        "middle_name": "MARIE",
        "credential": "AP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "4373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yulee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.