MRS. LACY MOORE (NPI# 1457682874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457682874 |
| Entity Type | Individual |
| Full Name | MRS. LACY MOORE |
| Credential | FNP |
| Practice Address |
507 Blackman Blvd W Wartrace TN 37183-2210 |
| Practice Telephone | 9313890600 |
| Mailing Telephone | 9313890600 |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2011-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
14708 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174754386 | Lacy Moore | Speech-Language Pathologist | 12429 Scofield Farms Dr, Austin, TX 78758 | 2009-08-05 |
| Street Address |
507 BLACKMAN BLVD W |
| City | WARTRACE |
| State | TN |
| Zip Code | 37183-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720056369 | Shelbyville Hospital Corporation | Clinic/Center | 507 Blackman Blvd W, Wartrace, TN 37183-2210 | 2006-03-09 |
| 1659970549 | Vanderbilt Bedford Hospital, LLC | Clinic/Center | 507 Blackman Blvd W, Wartrace, TN 37183-2210 | 2020-10-21 |
| 1780103267 | Shelbyville Hospital Company LLC | Family Medicine | 507 Blackman Blvd W, Wartrace, TN 37183-2210 | 2017-09-15 |
| 1376061275 | Shelbyville Hospital Company LLC | Clinic/Center | 507 Blackman Blvd W, Wartrace, TN 37183-2210 | 2017-08-31 |
| 1952561979 | Wartrace Family Practice LLC | Family Medicine | 507 Blackman Blvd W, Wartrace, TN 37183-2210 | 2008-06-12 |
| 1780800961 | April K Bledsoe | Nurse Practitioner | 507 Blackman Blvd W, Wartrace, TN 37183 | 2007-04-17 |
| 1487716890 | Shelbyville Hospital Corporation | Nurse Practitioner | 507 Blackman Blvd W, Wartrace, TN 37183-2210 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316061195 | Shouthern Transport, LLC | Non-emergency Medical Transport (VAN) | 733 Bell Buckle Rd, Wartrace, TN 37183-0216 | 2007-03-19 |
| 1871629972 | Wendy Michelle Burris | Military Health Care Provider | 556 White Rd, Wartrace, TN 37183-3481 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316061195 | Shouthern Transport, LLC | Non-emergency Medical Transport (VAN) | 733 Bell Buckle Rd, Wartrace, TN 37183-0216 | 2007-03-19 |
| 1871629972 | Wendy Michelle Burris | Military Health Care Provider | 556 White Rd, Wartrace, TN 37183-3481 | 2007-02-26 |
| 1780800961 | April K Bledsoe | Nurse Practitioner | 507 Blackman Blvd W, Wartrace, TN 37183 | 2007-04-17 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780800961 | April K Bledsoe | Nurse Practitioner | 507 Blackman Blvd W, Wartrace, TN 37183 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003731 | Erika Erickson | Nurse Practitioner | 2205 Steel Ct, Nolensville, TN 37135-9562 | 2020-11-06 |
| 1275134025 | Dara Downs | Nurse Practitioner | 1120 Glenview Dr, Nashville, TN 37206-3832 | 2020-11-06 |
| 1477154367 | Katrina Miller | Nurse Practitioner | 515 Lillard Rd, Murfreesboro, TN 37130-3131 | 2020-11-05 |
| 1780285932 | Caitlyn Lawson | Nurse Practitioner | 7637 Saddlebrooke Dr, Knoxville, TN 37938-4044 | 2020-11-04 |
| 1134729965 | Jamie Mclemore | Nurse Practitioner | 17619 Hwy 58 North, Decatur, TN 37322-3732 | 2020-10-30 |
| 1154921120 | Melissa Ann Mcnutt | Nurse Practitioner | 941 Windsor Ave, Bristol, TN 37620-2155 | 2020-10-29 |
| 1033718960 | Kasi Wells | Nurse Practitioner | 1421 Porter Rd Ste 4, Nashville, TN 37206-1669 | 2020-10-21 |
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1295333045 | Alma Sue Moore | Nurse Practitioner | 14 Shady Lane Est, Humboldt, TN 38343-6650 | 2020-10-14 |
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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.