Teresa Kay Lane, RN, MSN, CPNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN163766 Issued in GA

Practice address

12 Eastbrook BND
Peachtree City, GA 30269-1530

Phone

(770) 487-3330

Fax

(770) 487-7736

NPI assigned

Dec 20, 2006

Last updated

Mar 6, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

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.

• Peachtree Pediatrics PC

  • Pediatric Adolescent Medicine Physician
  • Peachtree City, GA
  • NPI 1437319951
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1972667517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 EASTBROOK BND",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691530",
            "telephone_number": "770-487-3330",
            "fax_number": "770-487-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 EASTBROOK BND",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691530",
            "telephone_number": "770-487-3330",
            "fax_number": "770-487-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "TERESA",
        "middle_name": "KAY",
        "credential": "RN, MSN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN163766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratory Fitness, LLC
• Allison M Lacayo, PT, DPT
• Amy Lambert, OD
• Stephanie Marie Landrum, M.ED., LPC, NCC
• Betty Susan Lane, PHD, MSN, BSN, FNP
• Timothy Stanley Lane, M.DIV. AND D.MIN.
• William David Lane, PH.D.
• Rebecca Block Lapidus, PH.D.
• Jacob Alexander Larison, FNP-C
• Robin Elizabeth Lasseter, NCC, LAPC

• Nurse Practitioner in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.