Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crystal Dawn Lane, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1811633845

Crystal Dawn Lane, PMHNP-BC is a Nurse Practitioner in Fort Myers, Florida. Qualified in 2022, 4 years ago. Practices with Therapy Treatment Team LLC, a 22-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arkansas, Florida and Missouri.

Years since qualifying
4
Licensed in
AR, FL, MO
In the registry since
2022
Specialties on file
3
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12811 Kenwood Ln Ste 202
Fort Myers, FL 33907-5646
Phone: (239) 537-9646
Fax: (239) 236-0866
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2345 Stanford Ct Ste 602, Naples, FL 34112-4841 — (239) 537-9646

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11029121 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 220223 (AR)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 2022017504 (MO)

Record details

NPI number1811633845
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedMay 11, 2022
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Therapy Treatment Team Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fort Myers