Individual Healthcare Provider
Kimberly J Lane, APRN
Provider's NPPES record last updated: October 1, 2019
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1093765232
- Primary Specialty
- Nurse Practitioner — Psychiatric/Mental Health
- Practice Location
- Putnam, Connecticut
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 10:32 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Psychiatric/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0808X
Provider-Reported License Information
- Nurse Practitioner (Connecticut)
- 000708
Practice Locations
Practice Location
320 Pomfret St
Putnam, Connecticut 06260-1836
Phone: (860) 928-6541
Additional Practice Location
168 Route 171
Woodstock, Connecticut 06281-3123
Phone: (860) 928-7775
Fax: (860) 928-3852
Additional Practice Location
45 Green Hollow Rd
Danielson, Connecticut 06239-3509
Phone: (860) 774-1255
Fax: (860) 779-2059
Additional Practice Location
612 Hartford Pike
Dayville, Connecticut 06241-2159
Phone: (860) 779-0867
Fax: (860) 779-0382
Additional Practice Location
7 Kennedy Dr
Putnam, Connecticut 06260-1939
Phone: (860) 928-7704
Additional Practice Location
12 Lathrop Rd
Plainfield, Connecticut 06374-2061
Phone: (860) 457-9191
Fax: (860) 457-9192
Record Information
- Enumeration Date
- May 10, 2006
- Provider's NPPES Record Last Updated
- October 1, 2019
- NPISignal NPPES Dataset
- August 2026
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