DR. MICHAEL JENNINGS LANE DNP PMHNP-BC NPI 1457932337

NPI Information

NPI: 1457932337
Provider Name: DR. MICHAEL JENNINGS LANE, DNP PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
6625 W LINCOLN HWY
CROWN POINT, IN
ZIP 46307
Phone: (219) 922-8051
Get Directions

DR. Michael Jennings Lane, DNP PMHNP-BC is a psychiatric/mental health nurse practitioner in Crown Point, IN. DR. Michael Jennings Lane, DNP PMHNP-BC NPI is 1457932337. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6625 W LINCOLN HWY
CROWN POINT, IN
ZIP 46307-678
Phone: (219) 922-8051
Fax: (219) 922-8608

The NPI 1457932337 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/21/2021 and was last updated on 6/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WE0003X	Registered Nurse	Emergency	041354134	ILLINOIS	No
2	163WP0807X	Registered Nurse	Psychiatric/Mental Health, Child & Adolescent	28230854A	INDIANA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	209023083	ILLINOIS	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	71011081A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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