LACY KENNEDY EATON (NPI# 1245514785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245514785 |
| Entity Type | Individual |
| Full Name | LACY KENNEDY EATON |
| Credential | PA |
| Practice Address |
1761 W Loop 281 Longview TX 75604-2734 |
| Mailing Address |
Po Box 4207 Longview TX 75606-4207 |
| Practice Telephone | 9032971733 |
| Practice Fax Number | 9032951600 |
| Mailing Telephone | 9032971733 |
| Mailing Fax Number | 9032951600 |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2014-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA07377 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1761 W LOOP 281 |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75604-2734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679562615 | Sidney L Redels | Emergency Medicine | 1761 W Loop 281, Longview, TX 75604-2734 | 2005-10-20 |
| 1275035941 | Sonseira Wilson | Nurse Practitioner | 1761 W Loop 281, Longview, TX 75604-2734 | 2018-03-08 |
| 1376999813 | Patricia Griffin | Nurse Practitioner | 1761 W Loop 281, Longview, TX 75604-2734 | 2016-05-13 |
| 1992161301 | Hillary Mitchell | Nurse Practitioner | 1761 W Loop 281, Longview, TX 75604 | 2016-01-14 |
| 1992161798 | Esther Gayle Ferrell | Nurse Practitioner | 1761 W Loop 281, Longview, TX 75604-2734 | 2016-01-08 |
| 1932598752 | Longview Wellness Center Inc | Clinic/Center | 1761 W Loop 281, Longview, TX 75604-2734 | 2015-01-16 |
| 1790051548 | Wendy Mckinnon | Nurse Practitioner | 1761 W Loop 281, Longview, TX 75604-2734 | 2012-03-27 |
| 1265705453 | Karen Courville Torres | Nurse Practitioner | 1761 W Loop 281, Longview, TX 75604-2734 | 2012-02-17 |
| 1437434099 | Stacy Leigh Wilkinson | Family Medicine | 1761 W Loop 281, Longview, TX 75604-2734 | 2011-10-14 |
| 1265715254 | Tia Thomas | Nurse Practitioner | 1761 W Loop 281, Longview, TX 75604-2734 | 2011-09-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962972521 | Samantha Chanee Snorton | Registered Nurse | 136 Jester Circle, Longivew, TX 75604 | 2018-11-27 |
| 1194222570 | Sns House of Care, Inc. | Hospice Care, Community Based | 3549 Gilmer Rd Ste I, Longview, TX 75604 | 2018-04-11 |
| 1891233987 | Danielle Heard | Nutritionist | 1605 Glenrose St, Longview, TX 75604 | 2017-02-08 |
| 1932554110 | Nec Longview Emergency Center, Lp | Clinic/Center | 1801 W. Loop 281, Longview, TX 75604 | 2016-04-26 |
| 1972937316 | Tricia G. Green | Clinical Nurse Specialist | 907 Kincaid Pl, Longview, TX 75604 | 2013-08-21 |
| 1457601817 | Sherri Nussbaum | Counselor | 3400 West Marshall Suite 309, Austin Bank Building, Longview, TX 75604 | 2012-09-13 |
| 1992061691 | Chelsea Carson Schulz | Dietitian, Registered | 6206 Iola Ave, Suite 109, Lubbock, TX 75604 | 2012-04-06 |
| 1699006312 | Bell2bell, LLC | Community/Behavioral Health | 1809 Nw Loop 281, Suite 107, Longview, TX 75604 | 2010-01-20 |
| 1255668901 | David M Vaughan | Pharmacist | 1778 W Loop 281, Longview, TX 75604 | 2009-11-17 |
| 1457587099 | David S. Risner Jr. | Ophthalmology | 2394 H G Mosley Parkway, Longview, TX 75604 | 2009-06-10 |
| Find all providers in zip 75604 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1073083903 | Ashley Briana-marie Gentry | Physician Assistant | 707 Hollybrook Dr # 200, Longview, TX 75605-2410 | 2018-12-04 |
| 1275637472 | Roderick Kelly | Physician Assistant | 1509 W Loop 281, Suite 2-b, Longview, TX 75604-2820 | 2006-09-11 |
| 1093751265 | Michael L. Smith | Physician Assistant | 2010 Bill Owens Pkwy, Longview, TX 75604-6210 | 2006-06-22 |
| 1174501811 | Denis Adams | Physician Assistant | 901 Walnut Hill Dr, Longview, TX 75605-5054 | 2006-01-04 |
| 1336123462 | Britta C Fischer | Physician Assistant | 783 Commerce Ave Ste 300, Longview, WA 98632-2495 | 2005-12-01 |
| 1265421499 | George Francis Zerucha | Physician Assistant | 121 Oak Isle Dr, Longview, TX 75605-7523 | 2005-10-20 |
| 1063412468 | Amy J Stacey | Physician Assistant | 1300 N 4th St, Longview, TX 75601-4717 | 2005-07-28 |
| 1407855455 | Debbi Spitler | Physician Assistant | 921 14th Ave, Longview, WA 98632-2316 | 2005-07-20 |
| 1043217664 | David L Oliver | Physician Assistant | 1706 Washington Way, Longview, WA 98632-2952 | 2005-06-29 |
| Find all providers in LONGVIEW | ||||
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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.