Lane Family Clinic

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

60099 Issued in OK

Legal business name

LANE FAMILY CLINIC

Practice address

207 W 10TH Street
Wright City, OK 74766

Phone

(580) 981-2104

NPI assigned

Sep 30, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Karyn Rebecca Lane, ARNP

Title

Nurse Practitioner/ Sole Owner

Phone

(580) 981-2104

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shami Lynn Fowler, FNP-C

  • Family Medicine Physician
  • Wright City, OK
  • NPI 1104441849
  NPD

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1891004412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W 10TH STREET",
            "address_2": "P.O. BOX 650",
            "city": "WRIGHT CITY",
            "state": "OK",
            "postal_code": "74766",
            "telephone_number": "580-981-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W 10TH STREET",
            "city": "WRIGHT CITY",
            "state": "OK",
            "postal_code": "74766",
            "telephone_number": "580-981-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "KARYN",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/ SOLE OWNER",
        "authorized_official_telephone_number": "580-981-2104",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "60099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1306088927",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200248480A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Good Honest Medicine
• Darla Gene Grayson
• Ellen Louise Green-Young, RD/LD
• Shelby Harris, MS, LPC
• Todd Keyes
• Lane Family Clinic LLC
• Karyn Rebecca Lane, ARNP
• Mariea W McCary
• West Counseling Services, LLC
• Wright City Schools

• All providers in Wright City, OK
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.