MRS. LACIE SHAE BURGE (NPI# 1972043305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972043305 |
Entity Type | Individual |
Full Name | MRS. LACIE SHAE BURGE |
Practice Address |
400 South Oak Street Randolph Medical Center Winchester IN 47394 |
Mailing Address |
1100 Reid Parkway Medical Staff Services Richmond IN 47374 |
Practice Telephone | 7655846600 |
Practice Fax Number | 7655846503 |
Mailing Telephone | 7655846600 |
Mailing Fax Number | 7655846503 |
Enumeration Date | 2017-03-04 |
Last Update Date | 2020-11-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71007164A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
9180 W 500 N, Farmland, IN 473409298 | 7655090408 |
Street Address |
400 SOUTH OAK STREET RANDOLPH MEDICAL CENTER |
City | WINCHESTER |
State | IN |
Zip Code | 47394 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053889113 | Kristen Michelle Bogue | Nurse Practitioner | 910 E Washingon Street Suite 2, Winchester, IN 47394 | 2018-11-07 |
1598018913 | Taylor L Stephens | Social Worker | 325 S Oak St, 103, Winchester, IN 47394 | 2012-10-23 |
1518189323 | Cari Prinkey | Pharmacist | 473 Greenville Avenue, Winchester, IN 47394 | 2007-05-02 |
1083708432 | Help-call & Rescue | Home Health | 605 West Newton, Winchester, IN 47394 | 2006-10-02 |
1184031932 | Pauletta J Hummel | Nurse Practitioner | 473 E Greenville Ave, Winchester, IN 47394 | 2014-07-14 |
1548582950 | Samantha M Morris | Nurse Practitioner | 409 E Greenville Ave, Winchester, IN 47394 | 2010-02-26 |
1043291206 | Gregory Paul Calkins | Emergency Medicine | 473 E Greenville Ave, Winchester, IN 47394 | 2005-11-07 |
1649271693 | S Kathryn Joyner | Nurse Practitioner | 409 E Greenville Ave, Winchester, IN 47394 | 2005-08-02 |
1184874331 | Dianna L. Naylor | Counselor | 730 W Washington St, Winchester, IN 47394-1425 | 2008-09-24 |
1619582673 | Kristen Lea Grilliot | Social Worker | 730 W Washington St, Winchester, IN 47394-1425 | 2020-09-15 |
Find all providers in zip 47394 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730794090 | Sarah-jane Gruber | Nurse Practitioner | 905 Cedar Creek Grade Ste 102, Winchester, VA 22601-7100 | 2020-09-14 |
1902417835 | Tara Beth Cruse | Nurse Practitioner | 5100 Combs Ferry Rd, Winchester, KY 40391-8082 | 2020-08-13 |
1639702616 | Anna Stewart | Nurse Practitioner | 219 Stine Ln, Winchester, VA 22603-5413 | 2020-02-18 |
1154953065 | Julie Varney | Nurse Practitioner | 119 Union View Ln, Winchester, VA 22603-3342 | 2020-02-08 |
1295379410 | April Dunaway | Nurse Practitioner | 403 Harney Dr, Winchester, KY 40391-9740 | 2019-10-30 |
1689225534 | Tracey Lynn Graham | Nurse Practitioner | 202 Heath Ct, Winchester, VA 22602 | 2019-09-23 |
1205484722 | Rachel Wynne Ziemke | Nurse Practitioner | 160 Merchant St, Winchester, VA 22603-4772 | 2019-08-28 |
1174177224 | Anna Morrison | Nurse Practitioner | 480 Bullion Blvd, Winchester, KY 40391-2933 | 2019-07-27 |
1285292581 | Heather Ann Hyden | Nurse Practitioner | 183 Hospital Rd Ste A, Winchester, TN 37398-2471 | 2019-05-31 |
1679035851 | Michelle Katherine Bull | Nurse Practitioner | 908 S Jefferson St, Winchester, TN 37398-2132 | 2019-04-04 |
Find all providers in WINCHESTER |
City | WINCHESTER |
Zip Code | 47394 |
Please comment or provide details below to improve the information on MRS. LACIE SHAE BURGE.
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.