Kristina Logan Lanier, BS, BS, PATH

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

204 S Crawford St
Waycross, GA 31503-2612

Phone

(912) 282-0992

Fax

(912) 285-8817

NPI assigned

Jun 24, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1851952535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1984",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315021984",
            "telephone_number": "912-282-0992",
            "fax_number": "912-285-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S CRAWFORD ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315032612",
            "telephone_number": "912-282-0992",
            "fax_number": "912-285-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANIER",
        "first_name": "KRISTINA",
        "middle_name": "LOGAN",
        "credential": "BS, BS, PATH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PIMSY",
            "affiliation": "N",
            "address_1": "204 S Crawford St",
            "city": "Waycross",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315032612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Breveenn Muthu Kukan
• Theresa Land, LCSW
• Joan Boatright Landon, R.PH
• Taylor Lane, DPT
• Lanier & Register Pharmacy, Inc. (Wainright's pharmacy)
• Brittany N Lawson, MD
• Brandi Michelle Lee, O.D.
• Clay A Lee, DO
• Jessica Linsey Lee
• Lauren Elizabeth Lee

• Counselor in Waycross, GA
• Providers in Waycross, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.