LACEY MCCRARY (NPI# 1669769477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669769477 |
| Entity Type | Individual |
| Full Name | LACEY MCCRARY |
| Other Name | LACEY HURD |
| Practice Address |
2307 Gordon Cooper Dr Shawnee OK 74801-9007 |
| Practice Telephone | 4052735236 |
| Practice Fax Number | 4058184690 |
| Mailing Telephone | 4052735236 |
| Mailing Fax Number | 4058184690 |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2016-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
89833 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2307 GORDON COOPER DR |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74801-9007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598752503 | Kent H Potts | Internal Medicine | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2005-10-04 |
| 1619505179 | Kiley Nicole Henderson | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2020-03-31 |
| 1801422944 | Joni Pataki | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2020-03-20 |
| 1265063960 | Stephanie Alvillar | Nurse Practitioner | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2020-01-31 |
| 1629618640 | Savannah Nycole Bagwell | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2020-01-07 |
| 1770130379 | Darci Leigh Jenkins | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2019-08-20 |
| 1356997423 | Christina Marie Trout | Registered Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2019-08-14 |
| 1720630262 | Dayna Kathleen Grandstaff | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2019-07-15 |
| 1891251575 | Monica Jinkins | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2019-02-18 |
| 1700351392 | Shelby Janae Parsons | Registered Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2018-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
| 1518365287 | Melanie A. Croy | Counselor | 1605 N. Harrison, Shawnee, OK 74801 | 2014-12-12 |
| 1134532229 | Megan Malouf | Registered Nurse | 2307 Gordon Cooper Dr., Shawnee, OK 74801 | 2014-06-05 |
| 1063836609 | Daniel Antwain Shaw | Counselor | 605 S. Pottenger Ave, Shawnee, OK 74801 | 2014-02-18 |
| 1639514862 | Cheryl Jeannette Left Hand | Counselor | 101 N. Union, Shawnee, OK 74801 | 2013-05-01 |
| 1881948644 | Lena I Samilton | Counselor | 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 | 2012-11-01 |
| 1235433681 | Jenifer Sloan | Case Manager/Care Coordinator | 2029 S. Gordon Cooper Dr., Shawnee, OK 74801 | 2010-12-28 |
| 1295854958 | Jack C Luman | Dentist | 1410 N Harrison St, Shawnee, OK 74801 | 2007-03-27 |
| 1942375274 | M Gerald Ball | Psychologist | 819 North Kickapoo, Shawnee, OK 74801 | 2006-11-21 |
| 1205912573 | Regina Steciak Tanner | Physical Therapist | 909 N Kickapoo, Shawnee, OK 74801 | 2006-10-31 |
| Find all providers in zip 74801 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407415136 | Jason Buehler | Nurse Practitioner | 6345 Long Ave, Shawnee, KS 66216-2504 | 2019-06-06 |
| 1306350392 | Margaret Quinn Mesmer | Nurse Practitioner | 11338 W 63rd St, Shawnee, KS 66203-3336 | 2017-11-29 |
| 1144765611 | Cindy Cheatwood | Nurse Practitioner | 2508 N Harrison St, Shawnee, OK 74804-3131 | 2016-12-19 |
| 1689850760 | Stefani J Spainhower | Nurse Practitioner | 6800 Hilltop Rd Ste 102, Shawnee, KS 66226-3571 | 2008-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492618 | Jessica Kearney | Nurse Practitioner | 8116 Nw 161st Ter, Edmond, OK 73013-5510 | 2020-09-17 |
| 1346852191 | Oludari Olutokunbo Olajide | Nurse Practitioner | 10700 N Council Rd Apt 3, Oklahoma City, OK 73162-4366 | 2020-08-21 |
| 1124638192 | Amanda Rushing | Nurse Practitioner | 705 E Atlanta Ave, Davis, OK 73030-2982 | 2020-08-05 |
| 1104435999 | Julie Marie Kelly | Nurse Practitioner | 1615 S Eucalyptus Ave Ste 210, Broken Arrow, OK 74012-5993 | 2020-07-28 |
| 1750999413 | Staci Y Williams | Nurse Practitioner | 5606 Sw Lee Blvd Ste 203, Lawton, OK 73505-9651 | 2020-07-20 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1144847542 | Premier Healthcare, Aprn-cnp | Nurse Practitioner | 12208 South Western Avenue, Suite B, Oklahoma City, OK 73170 | 2020-07-01 |
| 1578184560 | Heather Elaine Fry | Nurse Practitioner | 1908 E Gore Blvd Ste A, Lawton, OK 73501-6129 | 2020-04-30 |
| 1972137511 | Danielle Nicole Hurd | Nurse Practitioner | 1532 N Boston Pl, Tulsa, OK 74106-4104 | 2020-02-22 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LACEY MCCRARY.
| 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.