LACEY M WELLER (NPI# 1275973638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275973638 |
| Entity Type | Individual |
| Full Name | LACEY M WELLER |
| Other Name | LACEY E MORGAN |
| Credential | NP |
| Practice Address |
286 Stage Rd Charlton NY 12019-2618 |
| Mailing Address |
711 Troy Schenectady Rd Ste 203 Latham NY 12110-2461 |
| Practice Telephone | 5183992101 |
| Practice Fax Number | 5183992130 |
| Mailing Telephone | 5187823700 |
| Mailing Fax Number | 5187823799 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2018-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 338016 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | FIDELIS CARE NY | 130920000077 | 01 |
| NY | 03605323 | 05 |
| Street Address |
286 STAGE RD |
| City | CHARLTON |
| State | NY |
| Zip Code | 12019-2618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386663003 | Kristen Hedger Martin | Family Medicine | 286 Stage Rd, Charlton, NY 12019-2619 | 2006-07-19 |
| 1598046203 | Community Care Physicians, PC | Family Medicine | 286 Stage Rd, Charlton, NY 12019 | 2011-09-08 |
| 1417020090 | Holly Wasniewski | Family Medicine | 286 Stage Rd, Charlton, NY 12019-2618 | 2006-11-15 |
| 1881705515 | Kathleen A Espey | Nurse Practitioner | 286 Stage Rd, Charlton, NY 12019-2619 | 2006-08-31 |
| 1154340875 | David Millard Phelps | Internal Medicine | 286 Stage Rd, Charlton, NY 12019-2619 | 2006-07-19 |
| 1033138755 | Philip Raymond Hunter | Family Medicine | 286 Stage Rd, Charlton, NY 12019 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093254765 | Leah Bushey | Occupational Therapist | 4062 Jockey St, Charlton, NY 12019 | 2017-02-15 |
| 1033492160 | Katie Whelan | Speech-Language Pathologist | 9 St. Patrick Place, Ballston Lake, NY 12019 | 2011-09-26 |
| 1548564941 | Anthony Iannuccillo | Optometrist | 5 Wood Dale Dr., Ballston Lake, NY 12019 | 2010-12-29 |
| 1578886867 | Cynthia Sadauskas | Pharmacist | 806 Saratoga Rd, Burnt Hills, NY 12019 | 2010-03-01 |
| 1801065412 | Mary Bridget Murphy | Pharmacist | 806 Route 50, Burnt Hills, NY 12019 | 2008-02-27 |
| 1962617191 | Stephanie Yonkers | Nurse Practitioner | 318 Ruhle Rd. S., Ballston Lake, NY 12019 | 2007-05-11 |
| 1457574287 | David Brooks Pierce | Dentist | 110 Lake Rd., Ballston Lake, NY 12019 | 2007-04-10 |
| 1326123183 | Paul J Gauthier Sr. | Dentist | 397 Stage Rd, Charlton, NY 12019 | 2006-10-27 |
| 1942398300 | Irwin Bruce Finch | Dentist | 134 Wood Dale Drive, Ballston Lake, NY 12019 | 2006-10-11 |
| 1124053897 | Jerry Frank Maiello Jr. | Social Worker | 331 Ushers Road, Northway 10 Professional Park, Ballston Lake, NY 12019 | 2006-07-11 |
| Find all providers in zip 12019 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091043 | Nicole Marie Marchand | Nurse Practitioner | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2020-10-20 |
| 1093119216 | Rebecca Louise Russo | Nurse Practitioner | 10 N Main St, Charlton, MA 01507-1590 | 2014-10-17 |
| 1013187616 | Stacy L. Pominville | Nurse Practitioner | 10 N Main St, Charlton, MA 01507-1590 | 2008-03-11 |
| 1356542559 | Linda M Pio | Nurse Practitioner | 20 Southbridge Rd, Charlton, MA 01507-5235 | 2007-05-29 |
| 1881705515 | Kathleen A Espey | Nurse Practitioner | 286 Stage Rd, Charlton, NY 12019-2619 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235432 | Koli Eckert | Nurse Practitioner | 2455 77th St Fl 2, East Elmhurst, NY 11370-1525 | 2020-11-04 |
| 1134728942 | Angelyn Arielle Brown | Nurse Practitioner | 3332 Walden Ave Ste 1100, Depew, NY 14043-2400 | 2020-10-22 |
| 1871191056 | Natalie Larissa Cohen | Nurse Practitioner | 555 Laguardia Pl, New York, NY 10012-1402 | 2020-10-11 |
| 1841807799 | Raquel Shivanna Sookram | Nurse Practitioner | 5505 Myrtle Ave, Ridgewood, NY 11385-3550 | 2020-09-24 |
| 1154938264 | Haessal Kim | Nurse Practitioner | 14425 33rd Ave Apt 4l, Flushing, NY 11354-3103 | 2020-09-23 |
| 1235745282 | April Lynne Mott | Nurse Practitioner | 600 Ivy St Ste 108, Elmira, NY 14905-1627 | 2020-09-16 |
| 1407461676 | Kim Marie Neenan-reilly | Nurse Practitioner | 7200 Douglaston Pkwy, Main Floor, Douglaston, NY 11362-1941 | 2020-09-14 |
| 1336753680 | Alexandra Lynn Picard | Nurse Practitioner | Henry Ittleson Center, 5050 Iselin Avenue, Bronx, NY 10471 | 2020-09-03 |
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1992316996 | Cassandra Dionne Saint-furcy | Nurse Practitioner | 6 Provenzano St, Inwood, NY 11096-1410 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
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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.