BRENDA KAY LACY


Address: 153 Sw Loblolly Pl, Lake City, FL 32024-4247
Phone: 3867522547

BRENDA KAY LACY (NPI# 1891066551) 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) 1891066551
Entity Type Individual
Full Name BRENDA KAY LACY
Credential LD/N
Practice Address 153 Sw Loblolly Pl
Lake City
FL 32024-4247
Practice Telephone 3867522547
Practice Fax Number 3867522547
Mailing Telephone 3867522547
Mailing Fax Number 3867522547
Enumeration Date 2012-01-25
Last Update Date 2012-01-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered LD4481 FL Dietary & Nutritional Service Providers

Office Location

Street Address 153 SW LOBLOLLY PL
City LAKE CITY
State FL
Zip Code 32024-4247

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1598965634 Lake City Surgery Center, LLC Clinic/Center 208 Sw Prosperity Place, Lake City, FL 32024 2007-07-18
1932308145 Smile Designs By Charlotte Gerry Dentist 857 Sw Main Blvd, Suite 105, Lake City, FL 32024 2007-07-17
1790900447 Leopold Bejamin Leblique General Practice 264 Sw Ridgeview Pl., Lake City, FL 32024 2007-04-16
1073785911 Rescare, Inc. Intermediate Care Facility, Mentally Retarded 1403 Spring St, Lake City, FL 32024 2008-04-01
1124202502 Christina Mcghghy Physical Therapy Assistant 289 Sw Stonegate Terr, Suite #101, Lake City, FL 32024 2007-12-21
1629682133 Paula Carol Palmer Registered Nurse 3857 Sw Birley Ave, Lake City, FL 32024-0003 2020-09-02
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700231594 David Godoy Dietitian, Registered 10363 Clifton Dr, Lake City, PA 16423-1218 2016-04-28
1689739831 Katalin M Ross Dietitian, Registered 1044 Sw Suwannee Downs Dr, Lake City, FL 32024-3613 2006-12-27
1265943484 Joy Koger Dietitian, Registered 619 S Marion Ave, Lake City, FL 32025-5808 2017-10-15
1598138141 Elizabeth Hammock Dietitian, Registered 619 S Marion Ave, Lake City, FL 32025-5808 2015-11-04
1801264742 Amanda Leisenheimer Dietitian, Registered 500 W Grant St, Lake City, MN 55041-1143 2015-09-09
1427488238 Douglas Hope Dietitian, Registered 619 S. Marion Ave, Lake City Va Medical Center, Lake City, FL 32025 2013-11-14
1518396688 Jeanine Beatty Dietitian, Registered 619 S Marion Ave, Lake City, FL 32025-5808 2013-11-08
1952730046 Doriann Cowan Dietitian, Registered 619 S Marion Ave, Nutrition and Food Services, Lake City, FL 32025-5808 2013-11-08
1043565906 Angela Lee Dietitian, Registered 619 S Marion Ave, Lake City, FL 32025-5808 2012-07-17
1154682995 Cassandra M Wetter Dietitian, Registered 1301 W Main St, Lake City, IA 51449-1585 2012-06-07
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Competitor

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City LAKE CITY
Zip Code 32024

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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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