LACY C BIRDSEYE


Address: 187 Forest Ave, Fairfield, CT 06824-6573
Phone: 2032550695

LACY C BIRDSEYE (NPI# 1972872463) 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) 1972872463
Entity Type Individual
Full Name LACY C BIRDSEYE
Credential APRN
Practice Address 187 Forest Ave
Fairfield
CT 06824-6573
Practice Telephone 2032550695
Practice Fax Number 2032550629
Mailing Telephone 5305195229
Enumeration Date 2011-12-29
Last Update Date 2016-12-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
004853 CT Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
004853 CT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 187 FOREST AVE
City FAIRFIELD
State CT
Zip Code 06824-6573

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1447794441 Nicholas C Kopazna Counselor 433 Meadow St, Fairfield, CT 06824 2016-12-09
1245686997 Tyler Wayne Vitzthum Chiropractor 1995 Post Rd., Fairfield, CT 06824 2016-05-12
1184087660 Beth Segaloff Social Worker 191 Catherine Terrace, Fairfield, CT 06824 2016-04-01
1518342781 April Vanbergen Counselor 1275 Post Rd., Suite A5, Fairfield, CT 06824 2015-07-29
1982089181 Mary Cilio Social Worker 173 Samp Mortar Drive, Fairfield, CT 06824 2015-07-29
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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
1932724168 Baljit Dhillon Nurse Practitioner 5140 Duren Cir, Fairfield, CA 94533-8978 2020-06-12
1164083168 Michelle Setliff Nurse Practitioner 1261 Travis Blvd Ste 170, Fairfield, CA 94533-4825 2019-06-21
1528545845 Gerarda Pires Nurse Practitioner 1305 Post Rd Ste 310, Fairfield, CT 06824-6016 2018-07-20
1063904407 Peter Nicholas Brehmer Nurse Practitioner 239 Greenfield St, Fairfield, CT 06825-4401 2018-06-01
1447765698 Mae Jennifer Le Nurse Practitioner 1261 Travis Blvd Ste 150, Fairfield, CA 94533-4800 2017-12-11
1093168825 Elizabeth Sarah Carson Nurse Practitioner 4910 Fairfield Rd, Fairfield, PA 17320-9510 2016-07-17
1083061550 Tammera Phipps Nurse Practitioner 1168 N Frieda Dr, Fairfield, OH 45014-3316 2016-05-15
1700250883 Aneet K Grewal Nurse Practitioner 4422 Meadow Valley Cir, Fairfield, CA 94534-6671 2015-11-30
1104200716 Latonia Yvette Cushingberry Nurse Practitioner 154 Twin Lakes Dr, Fairfield, OH 45014-5257 2015-07-13
1831518398 Prompt Care Healthcare Solutions On The Go, Plc Nurse Practitioner 2709 W Briggs Ave Apt 1, Fairfield, IA 52556-2649 2014-04-14
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Competitor

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City FAIRFIELD
Zip Code 06824

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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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