Provider Type Icon

CORNELIA LANE AG-ACNP NPI 1982009049


NPI Information

NPI: 1982009049
Provider Name: CORNELIA LANE, AG-ACNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
201 E GROVER ST
SHELBY, NC
ZIP 28150
Phone: (980) 487-3678
Get Directions

Cornelia Lane, AG-ACNP is an acute care nurse practitioner in Shelby, NC with 10 years of experience. Cornelia Lane, AG-ACNP NPI is 1982009049. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

201 E GROVER ST
SHELBY, NC
ZIP 28150-917
Phone: (980) 487-3678
Fax: (980) 487-3294

The NPI 1982009049 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 10/30/2014 and was last updated on 11/15/2016.


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
1363LA2100XNurse PractitionerAcute Care5007296NORTH CAROLINAYes

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 Other Provider Identifier Issuer
1NCL561EMEDICARE PINNORTH CAROLINA
21982009049MEDICAIDNORTH CAROLINA
3NCL561AMEDICARE PINNORTH CAROLINA
4QNP283MEDICAIDSOUTH CAROLINA
5NCL561CMEDICARE PINNORTH CAROLINA
6NCL561DMEDICARE PINNORTH CAROLINA
7NCL561BMEDICARE PINNORTH 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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.