MRS. LACIE SHAE BURGE


Address: 400 South Oak Street, Randolph Medical Center, Winchester, IN 47394
Phone: 7655846600

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
71007164A IN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
9180 W 500 N, Farmland, IN 473409298 7655090408

Office Location

Street Address 400 SOUTH OAK STREET
RANDOLPH MEDICAL CENTER
City WINCHESTER
State IN
Zip Code 47394

Providers in the same zip code

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 Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City WINCHESTER
Zip Code 47394

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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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