JENNIFER LACEY (NPI# 1538488143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538488143 |
| Entity Type | Individual |
| Full Name | JENNIFER LACEY |
| Credential | CRNP |
| Practice Address |
315 W Hickory St Sylacauga AL 35150-2913 |
| Mailing Address |
Po Box 202712 Dallas TX 75320-2712 |
| Practice Telephone | 4066009186 |
| Practice Fax Number | 7819376442 |
| Mailing Telephone | 8669616774 |
| Mailing Fax Number | 7819376442 |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2010-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1-107400 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902367089 | Jennifer Noelle Lacey | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2019-03-29 |
| 1154529808 | Jennifer Brooke Lacey | Speech-Language Pathologist | 22 Plantation Rd, Destrehan, LA 70047-3013 | 2007-07-04 |
| Street Address |
315 W HICKORY ST |
| City | SYLACAUGA |
| State | AL |
| Zip Code | 35150-2913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043215114 | Sandra B Martin | Specialist | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2005-06-16 |
| 1891394912 | Roger D Morris Jr. | Pharmacist | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2020-10-20 |
| 1265091771 | Marilee Agnes Platzek | Nurse Practitioner | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2019-06-08 |
| 1215490065 | Melanie English Moore | Dietitian, Registered | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2019-04-09 |
| 1831676485 | Sylacauga Health Care Authority | Anesthesiology | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2018-07-26 |
| 1275029845 | Angelica Scoggins | Nurse Practitioner | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2018-07-07 |
| 1013401132 | Coosa Valley Healthcare Center LLC | Skilled Nursing Facility | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2018-06-21 |
| 1720507635 | Nes Tennessee Inc | Emergency Medicine | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2017-09-12 |
| 1700323151 | James David Miller | Nurse Practitioner | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2017-01-24 |
| 1720524689 | Coosa Valley - Aristo Er, LLC | Emergency Medicine | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2017-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830934 | Casey Delane Sumner | Pharmacist | 1930 Pleasant Ridge Loop, Sylacauga, AL 35150 | 2020-10-30 |
| 1043870231 | Rehab and Wellness Clinic, LLC | Pain Medicine | 234 North Broadway, Sylacauga, AL 35150 | 2019-06-19 |
| 1366999195 | Tasia Bates Bradford | Nurse Practitioner | 209 W Spring St Ste 102, Sylacauga, AL 35150 | 2016-09-09 |
| 1083831804 | Coosa Valley Urology, P.C. | Specialist | 16 South Douglas Avenue, Sylacauga, AL 35150 | 2007-04-20 |
| 1689720641 | John Sidney Mcpeters | Dentist | 1604 Talladega Hwy, Dr John S Mcpeters, Sylacauga, AL 35150 | 2007-01-25 |
| 1972652386 | David Paul Currie | Dentist | 499 W 3rd St, Sylacauga, AL 35150 | 2007-01-09 |
| 1336221647 | Thomas M Kines | Optometrist | 493 W 3rd Street, Sylacauga, AL 35150 | 2006-10-19 |
| 1275623639 | Charles E. Singleton | Surgery | 208 West Spring Street, Suite 300, Sylacauga, AL 35150 | 2006-10-13 |
| 1881794410 | Said Y Salman | Durable Medical Equipment & Medical Supplies | 122 N Broadway Ave, Sylacauga, AL 35150 | 2006-09-24 |
| 1952416141 | Bruno's Supermarkets, LLC. | Durable Medical Equipment & Medical Supplies | 1301 West Ft Williams, Sylacauga, AL 35150 | 2006-08-20 |
| Find all providers in zip 35150 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275029845 | Angelica Scoggins | Nurse Practitioner | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2018-07-07 |
| 1376045963 | Kyndra P Wright | Nurse Practitioner | 315 W Fort Williams St Ste 100, Sylacauga, AL 35150-2433 | 2018-02-28 |
| 1639113699 | Daniel M Marvin | Nurse Practitioner | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2006-06-16 |
| 1437114295 | Verick Daniel Burchfield | Nurse Practitioner | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948368 | Starr Ellen Valerio | Nurse Practitioner | 115 Rachel Dr Nw, Huntsville, AL 35806 | 2020-10-02 |
| 1336756600 | Vivian Elizabeth Jackson | Nurse Practitioner | 1216 25th St N, Birmingham, AL 35234-3139 | 2020-09-30 |
| 1104430446 | Victory Health of Oneonta LLC | Nurse Practitioner | 28252 Al-75, Oneonta, AL 35121 | 2020-09-03 |
| 1467070300 | Sarah Katherine Clarke | Nurse Practitioner | 861 Pinemont Dr, Mobile, AL 36609-3037 | 2020-07-07 |
| 1104448919 | Thaila Keodouangdy | Nurse Practitioner | 9350 Ofallon Dr, Mobile, AL 36695-9813 | 2020-05-14 |
| 1447872320 | Irina Guerard | Nurse Practitioner | 8886 Lake View Dr, Fairhope, AL 36532-6939 | 2020-05-13 |
| 1528680915 | Pure Integrative Wellness and Hydration LLC | Nurse Practitioner | 2703 University Blvd E Ste B, Tuscaloosa, AL 35404-3226 | 2020-05-08 |
| 1811517402 | Lillian Teicher Branham | Nurse Practitioner | 382 Slaughter Rd, Madison, AL 35758-2008 | 2020-04-23 |
| 1265061006 | Margaret Kelly Mcclusky | Nurse Practitioner | 10147 Wildwood Ln, Cottondale, AL 35453-1117 | 2020-04-03 |
| 1427686062 | Tara Cooley | Nurse Practitioner | 909 Tracey Ln, Decatur, AL 35601-7701 | 2020-03-30 |
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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.