DR. ROBERT DAVID LANE DNP NPI 1114944683

NPI Information

NPI: 1114944683
Provider Name: DR. ROBERT DAVID LANE, DNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
501 BILLINGSLEY RD
CHARLOTTE, NC
ZIP 28211
Phone: (704) 358-2700
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DR. Robert David Lane, DNP is a psychiatric/mental health nurse practitioner in Charlotte, NC with 16 years of experience. DR. Robert David Lane, DNP NPI is 1114944683. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:2008

The provider's business location address is:

501 BILLINGSLEY RD
CHARLOTTE, NC
ZIP 28211-009
Phone: (704) 358-2700
Fax: (704) 358-2716

The NPI 1114944683 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 7/17/2006 and was last updated on 11/10/2015.

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	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	75862	WEST VIRGINIA	No
2	363LF0000X	Nurse Practitioner	Family	75862	WEST VIRGINIA	No
3	363LA2200X	Nurse Practitioner	Adult Health	75862	WEST VIRGINIA	No
4	363LG0600X	Nurse Practitioner	Gerontology	75862	WEST VIRGINIA	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	75862	WEST VIRGINIA	No
6	363LA2200X	Nurse Practitioner	Adult Health	R0045798	OKLAHOMA	No
7	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	252761	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	WV0395A	MEDICARE PIN	NORTH CAROLINA
2	NC7242A	MEDICARE PIN	NORTH CAROLINA
3	100848390B	MEDICAID	OKLAHOMA
4	1114944683	MEDICAID	NORTH CAROLINA
5	R11943	MEDICARE UPIN	OKLAHOMA
6	100848390A	MEDICAID	OKLAHOMA
7	7006282	MEDICAID	NORTH CAROLINA
8	NP2067	MEDICAID	SOUTH CAROLINA
9	NP85441	MEDICARE PIN	NORTH CAROLINA

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: 4/28/2024

NPI Synchronization or Removal

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