Lane A Anderson, MSN RN PPCNP-BC CPN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP139415 Issued in TX

Practice address

4420 Kimbell Dr
Wichita Falls, TX 76302-3006

Phone

(940) 696-1600

Fax

(940) 696-1665

NPI assigned

Oct 23, 2018

Sex

Male

Sole proprietor

No

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: landerson50341@unitedregional.medalliesdirect.net
• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Central Texas Community Health Care Center, Inc

  dba Community Healthcare Center

  • Federally Qualified Health Center (FQHC)
  • Wichita Falls, TX
  • NPI 1255324141
  Medicare reassignment NPD
• North Central Texas Community Health Care Center, Inc

  dba CHC at Wilbarger General

  • Federally Qualified Health Center (FQHC)
  • Vernon, TX
  • NPI 1851114367
  NPD
• United Regional Health Care System Inc

  dba United Regional Heath Care System

  • General Acute Care Hospital
  • Wichita Falls, TX
  • NPI 1023013448
  NPD

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1962978460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MLK JR BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763011152",
            "telephone_number": "940-696-1600",
            "fax_number": "940-696-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 KIMBELL DR",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763023006",
            "telephone_number": "940-696-1600",
            "fax_number": "940-696-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LANE",
        "middle_name": "A",
        "credential": "MSN RN PPCNP-BC CPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP139415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahmoud Mohamad Amine, D.D.S.
• Pooja Amirneni, MD
• Rylie Ammons
• Amy Wolfe Wellness PLLC
• Mihaela Anastase, M.D.
• Michael Alan Anderson, M.D.
• Andra Ray (Ray and Ray Counseling Services)
• Andre P Desire, MD, PA
• Jaclyn Jo Andrew
• Aniol III, LLC (Carriage Bend House)

• Pediatric Nurse Practitioner in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.