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

Sandra Lane

Individual provider Registered Nurse · NPI 1710587332

Sandra Lane is a Nurse Practitioner in Ogden, Utah. Qualified in 2020, 6 years ago. Practices with Ryan K Anderson D P M P C, a 51-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Licensed in
UT
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

5974 Fashion Point Dr Ste 110
Ogden, UT 84403-4712
Phone: (801) 917-2270
Fax: (385) 831-2987
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3852485-4405 (UT)
Registered Nurse Taxonomy 163W00000X · Licence 98524853102 (UT)

Record details

NPI number1710587332
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 1, 2020
Last updated in NPPESSeptember 22, 2021
Certification dateSeptember 22, 2021
Mailing address5974 Fashion Point Dr Ste 110, Ogden, UT 84403-4712

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ryan K Anderson D P M P C — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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