Jennifer Lane

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119004435 Issued in VA

Practice address

2980 Centreville Rd
Herndon, VA 20171-6254

Phone

(571) 266-0274

NPI assigned

May 8, 2024

Sex

Female

Sole proprietor

Yes

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.

• Visiting Eyecare LLC

  • Optometrist
  • Leesburg, VA
  • NPI 1619701877
  NPD (past)

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1851149405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 CENTREVILLE RD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201716254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 CENTREVILLE RD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201716254",
            "telephone_number": "571-266-0274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1610 Bandit Loop",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201904877",
            "country_code": "US",
            "telephone_number": "703-214-2962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46555 Leesburg Pike",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201643567",
            "country_code": "US",
            "telephone_number": "571-378-3912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13650 Heathcote Blvd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "VA",
            "postal_code": "201553344",
            "country_code": "US",
            "telephone_number": "703-468-1895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119004435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Lagasse, LCSW
• Ameen Lamb, RBT
• Lana Soules D.D.S., Inc.
• Kari Land, MS, BCBA, LBA
• Kristina B Landas, M.A., CCC-SLP
• Heidi Diane Lapham
• Diana Laplante, COTA
• Kerrie Michelle Laughlin, CSAC, LPC
• Maureen E Leang, MA CCC-SLP
• Deborah I Leavens, MD

• Occupational Therapist in Herndon, VA
• Providers in Herndon, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.