Roberta S Lane, PNP-C

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

29697 Issued in NC

Practice address

719 Green Valley Rd
Suite 209
Greensboro, NC 27408-7014

Phone

(336) 272-9447

NPI assigned

Dec 21, 2006

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

Other identifiers 2

Other names 1

• Ms. Robin Lane Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1851455943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004",
            "telephone_number": "336-272-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 GREEN VALLEY RD",
            "address_2": "SUITE 209",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087014",
            "telephone_number": "336-272-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "ROBERTA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "PNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "29697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BON PRESCRIBING NUMBER",
            "identifier": "300046",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PED NURSING CERTIFICATION",
            "identifier": "78259",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "LANE",
            "prefix": "MS.",
            "credential": "PNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lane and Associates L DDS PA
• Elizabeth Lane, OGNP
• Jessica Lane, CCC-SLP
• Naomi Lorene Lane, DDS
• Rachel Elizabeth Lane, PA-C
• Shauna Lane
• Stephanie Lane, LCSW
• Thomas Kelsey Lane, D.MIN.
• Timothy Walter Lane, M.D.
• Ronald Buren Laney Jr., M.D.

• Pediatric Nurse Practitioner in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.