Individual provider Active NPI

Kelly A Lane, ARNP

  • Family Nurse Practitioner
  • Lake Mary, FL
National Provider Identifier
1962439737
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9315463 Issued in FL
Practice address
147 Parliament Loop Ste 1005
Lake Mary, FL 32746-3560
Phone
(407) 688-9446
Fax
(407) 688-9448
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209-005706 IL
Family Nurse Practitioner 363LF0000X ARNP9315463 FL Primary

Addresses

Primary practice location

147 Parliament Loop Ste 1005
Lake Mary, FL 32746-3560

Mailing address

147 Parliament Loop Ste 1005
Lake Mary, FL 32746-3560
Phone (407) 688-9446

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209-005706ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Granite City Physicians Corp Past Accepting new patients
Central Florida Medical Associates, Inc PastSince Jun 25, 2009 Accepting new patients
Granite City Clinic Corp Past Accepting new patients
Neel R. Patel, M.D., PLC PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 4

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962439737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 PARLIAMENT LOOP STE 1005",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463560",
            "telephone_number": "407-688-9446",
            "fax_number": "407-688-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 PARLIAMENT LOOP STE 1005",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463560",
            "telephone_number": "407-688-9446",
            "fax_number": "407-688-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-005706",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9315463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.