MRS. LACEY ANGELLE THOMAS (NPI# 1174946032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174946032 |
| Entity Type | Individual |
| Full Name | MRS. LACEY ANGELLE THOMAS |
| Other Name | MS. LACEY RENEE ANGELLE |
| Credential | APRN, NNP-BC |
| Practice Address |
Pediatrix-4600 Ambassador Caffery Lafayette LA 70508 |
| Mailing Address |
Pediatrix-p.o. Box 60612 Lafayette LA 70596-0612 |
| Practice Telephone | 3379819316 |
| Mailing Telephone | 3372246482 |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
RN119251 | LA | Nursing Service Providers |
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
AP07765 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2371525 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213870 | Lacey Susan Thomas | Midwife, Lay | 3270 Wheeler Hwy, Clayton, MI 49235-9728 | 2020-10-22 |
| 1477600344 | Lacey Thomas | Student in an Organized Health Care Education/Training Program | 2601 Tvc, Nashville, TN 37232-0001 | 2007-01-04 |
| Street Address |
PEDIATRIX-4600 AMBASSADOR CAFFERY |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265956270 | Joanna Marie Norvil | Nurse Practitioner | 406 W Cannon St, Lafayette, CO 80026-1612 | 2017-08-01 |
| 1255736914 | Tarrah Rials | Nurse Practitioner | 107 Montrose Ave Ste D, Lafayette, LA 70503-3852 | 2014-10-23 |
| 1437577467 | Stacey Simon | Nurse Practitioner | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2014-04-07 |
| 1871855759 | Dana Adamson Olivier | Nurse Practitioner | 107 Montrose Ave, Lafayette, LA 70503-3852 | 2012-06-15 |
| 1922368992 | Trillis Mcclatchey | Nurse Practitioner | 1701 Creasy Lane, Lafayette, IN 47905-1701 | 2012-05-23 |
| 1487959177 | Katrina Denese Bristol | Nurse Practitioner | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2011-01-11 |
| 1891099321 | Nancy Marie Snow | Nurse Practitioner | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2010-12-23 |
| 1912157934 | Rebecca Horn | Nurse Practitioner | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2008-09-26 |
| 1760630420 | Audra J Armstrong | Nurse Practitioner | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2008-09-05 |
| 1841455706 | Laura E. Mcdaniel | Nurse Practitioner | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2008-07-21 |
| Find all providers in LAFAYETTE | ||||
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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.