Individual provider Active NPI

Lance Meyer

  • Physician Assistant
  • Terre Haute, IN
National Provider Identifier
1972217271
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
347 Heritage LN E
Terre Haute, IN 47803-1373
Phone
(317) 260-1502
NPI assigned
Jan 11, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

347 Heritage LN E
Terre Haute, IN 47803-1373

Mailing address

1429 Turfway CT
Avon, IN 46123-7671
Phone (317) 260-1502

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmeyer10@sycamore.indstate.edu Direct

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1972217271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 TURFWAY CT",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237671",
            "telephone_number": "317-260-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 HERITAGE LN E",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478031373",
            "telephone_number": "317-260-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "LANCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmeyer10@sycamore.indstate.edu",
            "affiliation": "N",
            "endpointDescription": "Student Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "347 Heritage Ln E",
            "city": "Terre Haute",
            "state": "IN",
            "country_code": "US",
            "postal_code": "478031373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.