MR. BRIAN MITCHEL LACKEY (NPI# 1912090770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912090770 |
| Entity Type | Individual |
| Full Name | MR. BRIAN MITCHEL LACKEY |
| Credential | RN |
| Practice Address |
991 West Hudson Blvd Gastonia NC 28052 |
| Practice Telephone | 7048535083 |
| Practice Fax Number | 7048535240 |
| Mailing Telephone | 7048535083 |
| Mailing Fax Number | 7048535240 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
138742 | NC | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871580746 | Brian Michael Lackey | Physical Therapist | 924 Plantation Blvd Ste B, Fairhope, AL 36532-7308 | 2005-10-05 |
| 1649326703 | Brian David Lackey | Dentist | 675 Pine Ave, Pacific Grove, CA 93950-3373 | 2007-01-25 |
| Street Address |
991 WEST HUDSON BLVD |
| City | GASTONIA |
| State | NC |
| Zip Code | 28052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679737894 | Scott Allan Patton | Registered Nurse | 991 West Hudson Blvd, Gastonia, NC 28052-0000 | 2008-07-16 |
| 1932387719 | Gaston Family Health Services | Clinic/Center | 991 West Hudson Blvd, Gastonia, NC 28052 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053859488 | Aa Plus Family Care Services, LLC | Custodial Care Facility | 190- B South Street, Gastonia, NC 28052 | 2017-02-06 |
| 1487028098 | Stefanie Mann | Counselor | 165 West Franklin Blvd., Gastonia, NC 28052 | 2015-11-19 |
| 1659771343 | Latisha Marsh | Pharmacist | 233 North Myrtle School, Gastonia, NC 28052 | 2014-08-29 |
| 1730598616 | Erin Flitt | Nurse Practitioner | 425 North Marietta Street, Gastoni, NC 28052 | 2014-08-05 |
| 1568877199 | Ebony Kyerra Kennedy | Pharmacist | 2206 West Franklin Blvd, Gastonia, NC 28052 | 2014-06-23 |
| 1821364209 | Harcharan Singh | Ophthalmology | 111 E.third Avenue, Gaston Family Medical Center, Gastonia, NC 28052 | 2012-03-29 |
| 1437475365 | Evelyn B Mcgill | Counselor | 102 N Yates Street, Gastonia, NC 28052 | 2010-04-16 |
| 1568696680 | Fafli Inc | Community/Behavioral Health | 175 W. Main Avenue, Gaston County, NC 28052 | 2009-05-04 |
| 1558570630 | Peggy May Currie | Physical Therapist | 710 Marietta St., Suite B, Gastonia, NC 28052 | 2007-05-22 |
| 1275753352 | John Theodore Fox | Dentist | 601 S York St, Gastonia, NC 28052 | 2007-04-30 |
| Find all providers in zip 28052 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942394622 | Brenda S Beam | Registered Nurse | 991 Hudson Blvd, Gastonia, NC 28052 | 2006-10-03 |
| 1134214521 | Anne Roberts Heilig | Registered Nurse | 991 W. Hudson Blvd, Gastonia, NC 28052 | 2006-10-03 |
| 1013543461 | Sheiva Mills | Registered Nurse | 991 W Hudson Blvd, Gastonia, NC 28052-6430 | 2020-03-18 |
| 1568005601 | Christine A Golien | Registered Nurse | 991 W Hudson Blvd, Gastonia, NC 28052-6430 | 2019-10-22 |
| 1588210892 | Angela Smith King | Registered Nurse | 991 W Hudson Blvd, Gastonia, NC 28052-6430 | 2019-08-13 |
| 1396391603 | Keely Currin | Registered Nurse | 991 W Hudson Blvd, Gastonia, NC 28052-6430 | 2019-08-13 |
| 1720529233 | Debra Kinley | Registered Nurse | 991 W Hudson Blvd, Gastonia, NC 28052-6430 | 2017-03-16 |
| 1891106456 | Tamesha Williams | Registered Nurse | 991 W Hudson Blvd, Gastonia, NC 28052-6430 | 2014-05-16 |
| 1811326663 | Angela Reese | Registered Nurse | 991 W Hudson Blvd, Gastonia, NC 28052-6430 | 2013-11-02 |
| 1205186764 | Desria Folasade Cole | Registered Nurse | 991 W Hudson Blvd, Gastonia, NC 28052 | 2012-09-12 |
| Find all providers in GASTONIA | ||||
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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.