LACY DIANE ESTES (NPI# 1275148967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275148967 |
Entity Type | Individual |
Full Name | LACY DIANE ESTES |
Credential | APRN, FNP-C |
Practice Address |
1771 Curtis Dr Iuka MS 38852-1001 |
Practice Telephone | 6624236014 |
Mailing Telephone | 6624236014 |
Enumeration Date | 2020-09-10 |
Last Update Date | 2020-09-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
904090 | MS | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1771 CURTIS DR |
City | IUKA |
State | MS |
Zip Code | 38852-1001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538297593 | Donald Charles Robertson | Internal Medicine | 1771 Curtis Dr, #200, Iuka, MS 38852-1001 | 2007-03-01 |
1881104784 | Brittany Sims | Nurse Practitioner | 1771 Curtis Dr, Iuka, MS 38852-1001 | 2017-10-05 |
1497276372 | Brenton Mckay | Nurse Practitioner | 1771 Curtis Dr, Iuka, MS 38852-1001 | 2017-06-30 |
1699205989 | Cameron Don Bonds | Family Medicine | 1771 Curtis Dr, Iuka, MS 38852-1001 | 2017-06-19 |
1063746345 | Vickey M Hall | Nurse Practitioner | 1771 Curtis Dr, Iuka, MS 38852-1001 | 2009-09-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346850278 | Amy Melissa Selmon | Registered Nurse | 904 North Pearl Street, Iuka, MS 38852 | 2020-08-05 |
1619346475 | Michelle Johnson | Social Worker | 1223 Maria Ln, Iuka, MS 38852 | 2015-09-22 |
1538580386 | Mary Beth Sheffield | Dietitian, Registered | 179 Cr 995, Iuka, MS 38852 | 2013-12-20 |
1467887190 | Region Iv Mental Health Services Beacon House | Community/Behavioral Health | 2040 Paul Edmondson Drive, Iuka, MS 38852 | 2013-09-12 |
1801018106 | Preferred Care Rehab | Occupational Therapist | 502 Battleground Drive, Iuka, MS 38852 | 2007-05-03 |
1770706863 | Felix Morris M.d., LLC | Internal Medicine | 1777 Curtis Drive, Iuka, MS 38852 | 2007-04-10 |
1235272790 | Jocelyn B Doran | Dentist | 238 Kaki Street, Iuka, MS 38852 | 2007-02-15 |
1902953631 | Jimmy Ray Sanchez II | Chiropractor | 2009 Constitution Dr, Iuka, MS 38852 | 2007-01-04 |
1952476707 | Family Home Care, Inc. | Durable Medical Equipment & Medical Supplies | 1105 Battleground Drive, Iuka, MS 38852 | 2006-11-21 |
1669481875 | Barnett Apothecary, LLC | Pharmacist | 606 Battleground Dr, Iuka, MS 38852 | 2006-08-05 |
Find all providers in zip 38852 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710959283 | Jennifer Lee Dawson | Nurse Practitioner | 1413 W Quitman St, Iuka, MS 38852-1130 | 2006-02-07 |
1114530342 | Andrew Blake Mccaulley | Nurse Practitioner | 1507 W Quitman St, Iuka, MS 38852-1133 | 2020-08-27 |
1427565076 | Jessica Kate Glover | Nurse Practitioner | 1507 W Quitman St, Iuka, MS 38852-1132 | 2018-01-04 |
1912418781 | Katherine Hilda Dawson | Nurse Practitioner | 302 Kaki St, Iuka, MS 38852-1117 | 2017-10-19 |
1881104784 | Brittany Sims | Nurse Practitioner | 1771 Curtis Dr, Iuka, MS 38852-1001 | 2017-10-05 |
1497276372 | Brenton Mckay | Nurse Practitioner | 1771 Curtis Dr, Iuka, MS 38852-1001 | 2017-06-30 |
1164891438 | Sara Cooley | Nurse Practitioner | 1507 W Quitman St, Iuka, MS 38852-1132 | 2015-09-17 |
1215367230 | Hilary Ashton Glover | Nurse Practitioner | 1507 W Quitman St, Iuka, MS 38852-1132 | 2013-11-13 |
1518237932 | Iuka Town Clinic, LLC | Nurse Practitioner | 109 E Quitman St, Suite A, Iuka, MS 38852-1936 | 2012-01-02 |
1831466291 | Amanda Kaye Pryce-jones | Nurse Practitioner | 1507 W Quitman St, Iuka, MS 38852-1132 | 2011-11-29 |
Find all providers in IUKA |
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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.