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MRS. KELLIE SMITH LANE
NPI 1306868708
Nurse Practitioner - Family in Jackson, MS

Active since July 24, 2006
3502 W NORTHSIDE DR, JACKSON, MS 39213(601) 362-5321(601) 364-2600 Get Directions Write a Review

NPPES record last updated: January 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kellie Smith Lane NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLIE SMITH LANE (NPI 1306868708) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R865577) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1306868708
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KELLIE SMITH LANE
Location Address3502 W NORTHSIDE DRJackson, MS 39213-4454
Mailing Address3502 W Northside DrJackson, MS 39213-4454 · (601) 362-5321 · Fax (601) 364-2600
Phone(601) 362-5321
Fax(601) 364-2600
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateJanuary 5, 2017
✔ NPI 1306868708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · R865577
3502 W NORTHSIDE DR, Jackson, MS 39213
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Other Names 1

Former Name (1)Mrs. Kellie Smith Butler

Other Identifiers 2

Medicare OSCAR/certification500002361MS
Medicaid01425217MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TIFFANI RICCHELE MCKNIGHT
Social Worker (Clinical)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
KATRICE PACLEY ANDREWS FNP-C
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
ERICIA LATRICE CANNON NURSE PRACTITONER
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
JEQUETTA SHUREKA ILION MCLAURIN FNP
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC.
Clinic/Center (Physical Therapy)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
CHAD ALLEN RHODEN MD
Family Medicine
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
ANNIE MCCLINE
Dental Hygienist
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
CANDICE COLEMAN NP-C
Nurse Practitioner (Adult Health)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Smith Lane's NPI number?

The NPI number for Kellie Smith Lane is 1306868708. It was assigned to this individual provider in the NPPES registry on July 24, 2006. The provider is also known as Mrs. Kellie Smith Butler.

Where is Kellie Smith Lane located?

Kellie Smith Lane practices at 3502 W Northside Dr, Jackson, MS 39213. The listed phone number is (601) 362-5321.

What is Kellie Smith Lane's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Kellie Smith Lane accept?

Health plans from Molina Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Kellie Smith Lane as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kellie Smith Lane was last updated on January 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.