DR. KRISTINA DIANN LACY (NPI# 1699119016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699119016 |
| Entity Type | Individual |
| Full Name | DR. KRISTINA DIANN LACY |
| Credential | DPM |
| Practice Address |
240 Hospital Pl Suite 203 Soldotna AK 99669-7559 |
| Mailing Address |
2601 E Roosevelt St Phoenix AZ 85008-4973 |
| Practice Telephone | 9077145312 |
| Practice Fax Number | 9077145200 |
| Mailing Telephone | 6023445011 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2020-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
111585 | AK | Podiatric Medicine & Surgery Service Providers |
| Street Address |
240 HOSPITAL PL SUITE 203 |
| City | SOLDOTNA |
| State | AK |
| Zip Code | 99669-7559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639494263 | Central Peninsula General Hospital Inc | General Acute Care Hospital | 240 Hospital Pl, Ste 204, Soldotna, AK 99669-7559 | 2010-04-07 |
| 1275948424 | Central Peninsula General Hospital, Inc | General Acute Care Hospital | 240 Hospital Pl, Ste 303a, Soldotna, AK 99669-7559 | 2014-06-26 |
| 1780099051 | Central Peninsula General Hospital, Inc | General Acute Care Hospital | 240 Hospital Pl, Ste 203, Soldotna, AK 99669-7559 | 2014-06-25 |
| 1598063927 | Central Peninsula General Hospital Inc | General Acute Care Hospital | 240 Hospital Pl, Ste 305, Soldotna, AK 99669-7559 | 2011-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201226 | Kyle Arron Shassetz | Counselor | 43335 K-beach Rd., Soldotna, AK 99669 | 2020-09-29 |
| 1720614993 | Peninsula Instacare | Clinic/Center | 34581 Kenai Spur Hwy, Suite 1, Soldotna, AK 99669 | 2020-03-19 |
| 1871141077 | Alaine Viola Lagasse | Counselor | Kenai Vet Center, 43299 Kalifornsky Beach Road Ste 4, Soldotna, AK 99669 | 2019-08-30 |
| 1962970574 | Ryder R Storm | Behavior Technician | 338800 Community College Drive, Suite 1, Soldotna, AK 99669 | 2018-11-13 |
| 1356821540 | Tanecia Webster | Nurse Practitioner | 36570 Kenai Spur Hwy, Ste 103a, Soldotna, AK 99669 | 2018-08-16 |
| 1821519869 | Theresa Napolitano | Case Manager/Care Coordinator | 35477 Kenai Spur Hwy Suite 203, Soldotna, AK 99669 | 2017-06-29 |
| 1689048282 | Jeanne Bignell | Licensed Practical Nurse | 35020 Alaskan View Lane, Soldotna, AK 99669 | 2015-11-19 |
| 1952786105 | Ian Charles Mcmullen | Pharmacist | 44001 Sterling Highway, Soldotna, AK 99669 | 2015-07-29 |
| 1841679933 | Lana Clymer | Case Manager/Care Coordinator | 22994 Kalifornsky Beach Rd, Soldotna, AK 99669 | 2015-05-22 |
| 1861800773 | Phillip Bruce | Physical Therapy Assistant | 35105 Kenai Spury Hwy, Suite A, Soldotna, AK 99669 | 2014-07-24 |
| Find all providers in zip 99669 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578819215 | Danny Romman | Podiatrist | 240 Hospital Pl Ste 203, Soldotna, AK 99669-7559 | 2012-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922566652 | Matt A. Heilala, Dpm Inc. | Podiatrist | 3190 E Meridian Park Loop Ste 205, Wasilla, AK 99654-7422 | 2019-03-12 |
| 1659687945 | Fairbanks Foot & Ankle Inc. | Podiatrist | 1405 Kellum St., Ste 200, Fairbanks, AK 99701 | 2010-08-24 |
| 1821135427 | Matt A Heilala | Podiatrist | 4100 Lake Otis Pkwy Ste 312, Anchorage, AK 99508-5231 | 2007-01-31 |
| 1417042912 | Frank Fir Mesdag | Podiatrist | 8800 Glacier Highway, Suite 218, Juneau, AK 99801-8080 | 2006-10-03 |
| 1588755110 | Kenneth Craig Swayman | Podiatrist | 2741 Debarr Rd Ste C315, Anchorage, AK 99508-2992 | 2006-09-27 |
| 1649620303 | Whitney Daneille Garner | Podiatrist | 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | 2016-06-14 |
| 1861809311 | Alaskan Legacy Podiatric Foot & Ankle Specialist LLC | Podiatrist | 4001 Laurel St, Suite 209, Anchorage, AK 99508-5300 | 2014-07-16 |
| 1245656727 | Anchorage Foot and Ankle Clinic, LLC | Podiatrist | 1000 E Dimond Blvd, Suite 201, Anchorage, AK 99515-2029 | 2014-03-08 |
| 1447424965 | Jared Kern | Podiatrist | 4100 Lake Otis Pkwy, Suite 312, Anchorage, AK 99508-5229 | 2008-04-16 |
| 1699968438 | Kito Daren Brooks | Podiatrist | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2007-08-24 |
| Find all providers with the same taxonomy | ||||
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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.