BETTY JANE LACKEY (NPI# 1043448509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043448509 |
| Entity Type | Individual |
| Full Name | BETTY JANE LACKEY |
| Credential | D.O. |
| Practice Address |
255 Enterprise Blvd Ste 101 Greenville SC 29615-3530 |
| Mailing Address |
800 N Fant St Anderson SC 29621-5708 |
| Practice Telephone | 8644548120 |
| Practice Fax Number | 8644548125 |
| Mailing Telephone | 8645121000 |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2019-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
36751 | SC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
36751 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 367515 | 05 | |
| SC | BLUE CHOICE | NPI # | 01 |
| SC | RR MEDICARE | P01624384 | 01 |
| SC | TRICARE | NPI # | 01 |
| SC | BLUE CROSS | NPI # | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 N Fant St, Anderson, SC 296215708 | 8645121000 |
| Street Address |
255 ENTERPRISE BLVD STE 101 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-3530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639392988 | William Pinckney Bonner | Family Medicine | 255 Enterprise Blvd Ste 101, Greenville, SC 29615-3530 | 2007-04-11 |
| 1447782859 | Amanda Elizabeth Smith Hamilton | Nurse Practitioner | 255 Enterprise Blvd Ste 101, Greenville, SC 29615-3530 | 2017-04-03 |
| 1649673765 | Kelli Lozano | Nurse Practitioner | 255 Enterprise Blvd Ste 101, Greenville, SC 29615-3530 | 2014-10-02 |
| 1932537867 | Pamela Allen Snyder | Nurse Practitioner | 255 Enterprise Blvd Ste 101, Greenville, SC 29615-3530 | 2013-11-01 |
| 1407090053 | Angela Hebert Hayden | Nurse Practitioner | 255 Enterprise Blvd Ste 101, Greenville, SC 29615-3530 | 2009-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| Taxonomy Code | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295744167 | Katie Bell Hanna | Family Medicine | 701 Grove Rd, Greenville, SC 29605-4210 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942527999 | Hospice & Palliative Care Foundation | Family Medicine | 1989 S Pine St, Spartanburg, SC 29302-3378 | 2010-04-30 |
| 1669442927 | Daniel Mouzon Smith Jr. | Family Medicine | 390 Keowee School Rd, Seneca, Seneca, SC 29672-6743 | 2006-01-26 |
| 1609484625 | Hoh Palliative Care, LLC | Family Medicine | 115 Blarney Dr Ste 204, Columbia, SC 29223-6291 | 2020-07-15 |
| 1417570771 | Hospice & Palliative Care Charlotte Region | Family Medicine | 1057 Red Ventures Dr Ste 150, Fort Mill, SC 29707-2518 | 2020-05-21 |
| 1275156606 | Hospice of Laurens County Inc | Family Medicine | 1304 Springdale Dr, Clinton, SC 29325-7226 | 2020-05-20 |
| 1386282838 | Magnolia Family Practice LLC | Family Medicine | 1229 Alice Dr, Sumter, SC 29150-1970 | 2019-12-16 |
| 1114311081 | Anmed Health | Family Medicine | 800 N Fant St, Anderson, SC 29621-5708 | 2015-03-27 |
| 1669878559 | Tidelands/ghs Joint Venture, LLC | Family Medicine | 2591 N Fraser St, Georgetown, SC 29440-6411 | 2014-11-05 |
| 1902064512 | Hospice and Palliative Care of The Piedmont Inc | Family Medicine | 408 W Alexander Ave, Greenwood, SC 29646-4031 | 2008-05-30 |
| 1346468204 | Grace Medical Group | Family Medicine | 1333 Taylor Street, Suite 3b, Columbia, SC 29201-2947 | 2007-04-23 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
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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.