LACEY G SANFORD


Address: 417 Benjamin Ln Ste 101, Louisville, KY 40222-4939
Phone: 5024120597

LACEY G SANFORD (NPI# 1689206906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689206906
Entity Type Individual
Full Name LACEY G SANFORD
Credential APRN
Practice Address 417 Benjamin Ln Ste 101
Louisville
KY 40222-4939
Mailing Address Po Box 2118
Belfast
ME 04915-4108
Practice Telephone 5024120597
Practice Fax Number 5024124637
Enumeration Date 2020-02-05
Last Update Date 2020-02-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
3014019 KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY LICENSE NUMBER 3014019 01

Other Providers LACEY SANFORD

NPI Name Taxonomy Address Enumeration
1528470978 Lacey Nicole Sanford Social Worker 650 S Peoria Ave, Tulsa, OK 74120-4429 2014-05-20

Office Location

Street Address 417 BENJAMIN LN STE 101
City LOUISVILLE
State KY
Zip Code 40222-4939

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548332455 Metro Pediatric Associates Pllc Pediatrics 417 Benjamin Ln Ste 101, Louisville, KY 40222-4939 2006-11-15
1518005156 Christian Berkhahn Pediatrics 417 Benjamin Ln Ste 101, Louisville, KY 40222-4939 2007-02-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740881507 Lucas Counseling and Consulting Counselor 8134 New Lagrange Road Suite 100, Louisville, KY 40222 2020-11-06
1700424157 Hope4hearts Counseling LLC Community/Behavioral Health 7321 New Lagrange Road, Louisville, KY 40222 2019-12-17
1982162509 Sydney Sleadd Massage Therapist 7505 New Lagrange Rd, Ste 101, Louisville, KY 40222 2019-03-04
1205390127 Rebecca A Street Marriage & Family Therapist 8134 New La Grange Rd Ste 227, Louisville, KY 40222 2019-01-24
1689176166 Andrew Pennington Social Worker 1015 Dorsey Ln., Louisville, KY 40222 2018-03-01
1578085957 Megan Lusco Case Manager/Care Coordinator 312 Whittington Parkway, Suite 020, Louisville, KY 40222 2017-07-07
1083149868 Kate Oliver Ray Optometrist 2420 Lime Kiln Ln Ste H, Louisville, KY 40222 2017-04-28
1578094736 Jacqueline Ward Speech-Language Pathologist 910 Fenley Avenue, Louisville, KY 40222 2017-03-21
1295195907 Carol Massey Psychologist 7400 Newlagrange Roed, 308, Louisville, KY 40222 2016-02-24
1588047260 Melissa Cosby Case Manager/Care Coordinator 312 Whittington Parkway Suite 020, Louisville, KY 40222 2015-06-30
Find all providers in zip 40222

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326695255 Norton Childrens Medical Group, LLC Nurse Practitioner 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 2019-08-26
1407402209 Elleanor Gray Nurse Practitioner 411 E Chestnut St Ste 645, Louisville, KY 40202-1713 2019-08-16
1245287440 Tammy A Pasko Nurse Practitioner 234 E. Gray St., Ste. 270, Louisville, KY 40202-1903 2006-05-31
1013988351 Kellie Woodruff Nurse Practitioner 411 E Chestnut St # Street7, Louisville, KY 40202-1713 2006-01-26
1639172554 Sharon C Metcalf Nurse Practitioner 555 S Floyd St, Louisville, KY 40202-3801 2005-05-24
1619582616 Erica Ashley Persichetti Nurse Practitioner 90 Health Park Dr Ste 160, Louisville, CO 80027-9742 2020-09-15
1295361723 Karen A Powers Nurse Practitioner 411 E Chestnut St # Street7, Louisville, KY 40202-1713 2020-03-16
1346872074 Elizabeth Cotton Nurse Practitioner 231 E Chestnut St, Louisville, KY 40202-1821 2020-02-11
1336771161 Norton Children's Medical Group, LLC Nurse Practitioner 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 2020-02-10
1205477833 Norton Children's Medical Group, LLC Nurse Practitioner 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 2019-10-04
Find all providers in LOUISVILLE

Competitor

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City LOUISVILLE
Zip Code 40222

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Dataset Information

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.

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