MS. DEIRDRE MICHELLE LACY-HUNTER (NPI# 1053659524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053659524 |
| Entity Type | Individual |
| Full Name | MS. DEIRDRE MICHELLE LACY-HUNTER |
| Other Name | MS. DEIRDRE MICHELLE LACY |
| Credential | RT |
| Practice Address |
2200 Sw Gage Blvd Topeka KS 66622-0001 |
| Mailing Address |
1727 Joffre Ave Toledo OH 43607-1613 |
| Practice Telephone | 7853503111 |
| Mailing Telephone | 4195368041 |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 247100000X | Radiologic Technologist | MRT5368 | MS | Technologists, Technicians & Other Technical Service Providers |
| N | 247100000X | Radiologic Technologist | RAD02210 | RI | Technologists, Technicians & Other Technical Service Providers |
| N | 247100000X | Radiologic Technologist | RHM00096687 | CA | Technologists, Technicians & Other Technical Service Providers |
| N | 247100000X | Radiologic Technologist | 97527 | TX | Technologists, Technicians & Other Technical Service Providers |
| N | 247100000X | Radiologic Technologist | R8866066 | OH | Technologists, Technicians & Other Technical Service Providers |
| Y | 247100000X | Radiologic Technologist | 256240 | MN | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2200 SW GAGE BLVD |
| City | TOPEKA |
| State | KS |
| Zip Code | 66622-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994395 | Jeffrey M Warner | Chiropractor | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2005-06-30 |
| 1063034486 | Margaret Ellen Anderson | Occupational Therapist | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2020-05-07 |
| 1053949255 | Dawn A Garcia | Registered Nurse | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2020-04-01 |
| 1972131621 | Shannon Marie Johnson Wilder | Psychologist | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2020-03-30 |
| 1902432412 | Leasha Raelynn Brooks | Family Medicine | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2020-03-16 |
| 1275169898 | Andrea Leigh Orrison | Nurse Practitioner | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2020-03-15 |
| 1922633718 | Cecilia Adaora Nwakpuda | Nurse Practitioner | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2020-03-11 |
| 1144869025 | Jayme M Mavrovich | Social Worker | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2019-12-25 |
| 1699313882 | Shawna R Deters | Registered Nurse | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2019-12-18 |
| 1407400526 | Debra M. Crater | Social Worker | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2019-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255823001 | Tara Jarrett | Psychologist | 2200 Sw Gage Blvd., Topeka, KS 66622 | 2018-06-06 |
| 1750321519 | Jamye Buelke Brown | Psychologist | Colmery-o'neil Va Medical Center, 2200 Gage Boulevard, Topeka, KS 66622 | 2006-06-08 |
| 1003864026 | Richard Guy Brausa | Social Worker | Ekhcs 2200 Gage, Topeka, KS 66622 | 2006-05-04 |
| 1174580625 | Sandra Lynn Hampton | Physician Assistant | 2200 Gage Va, Topeka, KS 66622 | 2006-04-27 |
| 1790741882 | Jose Maria Bejar | Psychiatry & Neurology | 2200 Gage Blvd., Topeka, KS 66622 | 2006-04-26 |
| 1750877635 | Kiran Randhawa | Psychiatry & Neurology | 2200 Sw Gage Blvd., Topeka, KS 66622 | 2018-07-03 |
| 1427089879 | Laura Leanne Rupnick | Pharmacist | Colmery-o'neil Va Medical Center, 2200 Gage Blvd, Topeka, KS 66622 | 2006-07-05 |
| 1457382673 | Patricia J Mcnelis | Nurse Practitioner | 2200 Gage Blvd, Colmeny Oneil Va Medical Center, Topeka, KS 66622 | 2006-07-05 |
| 1962416909 | Jay Pehrson Kennedy | Family Medicine | 2200 Sw Gage Boulevard, U.S. Department of Veterans Affairs, Topeka, KS 66622-0000 | 2006-07-27 |
| 1821588526 | Cody Poell | Pharmacist | 2200 Seems Gage Blvd, Topeka, KS 66622-0001 | 2018-05-17 |
| Find all providers in zip 66622 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780892505 | Robert Michael Lane | Radiologic Technologist | 1403 Sw 6th St, Topeka, KS 66604 | 2007-05-18 |
| 1922538768 | Connie J Wade | Radiologic Technologist | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2017-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831621481 | Jesse Pearson | Radiologic Technologist | 2522 N Fox Run Ct, Wichita, KS 67226-3605 | 2017-04-03 |
| 1487849691 | Ultrasound Professionals, Inc. | Radiologic Technologist | 142 N Belmont St, Wichita, KS 67208-3803 | 2007-09-11 |
| 1215392865 | Blake Hageman | Radiologic Technologist | 1105 Sunset Ave, Manhattan, KS 66502-3761 | 2015-12-28 |
| 1689039232 | Alex Speth | Radiologic Technologist | 1105 Sunset Ave, Manhattan, KS 66502-3761 | 2015-12-28 |
| 1972978518 | Jaron Goetz | Radiologic Technologist | 1105 Sunset Ave, Manhattan, KS 66502-3761 | 2015-12-08 |
| 1972978815 | Krystin Crane | Radiologic Technologist | 1105 Sunset Ave, Manhattan, KS 66502-3761 | 2015-12-03 |
| 1801223565 | Robert Henry Wilgers | Radiologic Technologist | 3601 N Webb Rd, Wichita, KS 67226-8129 | 2013-09-26 |
| 1447684410 | Mark Sears | Radiologic Technologist | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2013-08-27 |
| 1336490788 | Christopher Collin Limes | Radiologic Technologist | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2012-09-25 |
| 1457417065 | Medical Arts Diagnostic Center, LLC | Radiologic Technologist | 175 South Range, Suite 2, Colby, KS 67701-0001 | 2006-12-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.