DR. LACY HENRY MILLER (NPI# 1326030792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326030792 |
| Entity Type | Individual |
| Full Name | DR. LACY HENRY MILLER |
| Credential | DNP, PMHNP-BC, FNP |
| Practice Address |
284 Executive Park Dr Concord NC 28025-1831 |
| Mailing Address |
901 Jones Franklin Rd Ste 101 Raleigh NC 27606-5441 |
| Practice Telephone | 7049391100 |
| Mailing Telephone | 3366337000 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
201376 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED HEALTHCARE | 2632201 | 01 | |
| NC | 6005036 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4000 Wake Forest Rd, Raleigh, NC 276096879 | 9198658732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871810580 | Lacy M Miller | Registered Nurse | 1874 Lakeshore Dr., Selma, OR 97538 | 2010-04-21 |
| Street Address |
284 EXECUTIVE PARK DR |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326502204 | Tiffany Robinson Hooker | Counselor | 284 Executive Park Dr, Concord, NC 28025-1831 | 2019-01-25 |
| 1710464961 | Christine Ann Still | Social Worker | 284 Executive Park Dr, Concord, NC 28025-1831 | 2018-07-20 |
| 1457838732 | Justine Mohre | Social Worker | 284 Executive Park Dr, Concord, NC 28025-1831 | 2018-07-19 |
| 1821598608 | Holly Hall Hatley | Licensed Practical Nurse | 284 Executive Park Dr, Concord, NC 28025-1831 | 2018-02-18 |
| 1063946432 | Lisa Crowder | Licensed Practical Nurse | 284 Executive Park Dr, Ste 100, Concord, NC 28025-1831 | 2017-04-12 |
| 1215474267 | Julia Bentley | Counselor | 284 Executive Park Dr, Concord, NC 28025-1831 | 2017-01-30 |
| 1760929798 | Richard Moore | Counselor | 284 Executive Park Dr, Suite100, Concord, NC 28025-1894 | 2017-01-29 |
| 1760928352 | Latehia Cade | Licensed Practical Nurse | 284 Executive Park Dr, Ste 100, Concord, NC 28025-1831 | 2017-01-06 |
| 1811432818 | Tiffany Moss | Counselor | 284 Executive Park Dr, Ste 100, Concord, NC 28025-1831 | 2016-12-29 |
| 1669914776 | Gloria Denice Kimble | Social Worker | 284 Executive Park Dr, Concord, NC 28025-1831 | 2016-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154591030 | Craig Sussman | Nurse Practitioner | 111 Old Road To Nine Acre Corner, Concord, MA 01742-4141 | 2008-03-06 |
| 1306906417 | Steve Arvin | Nurse Practitioner | 100 Hall St, Concord, NH 03301-3408 | 2006-12-11 |
| 1144380940 | Holli Marie Hoffman | Nurse Practitioner | 1333 Willow Pass Rd Ste 102, Concord, CA 94520 | 2006-12-11 |
| 1225003908 | Patricia A Orzano | Nurse Practitioner | 278 Pleasant Street, Riverbend Counseling Associates, Concord, NH 03301 | 2006-02-17 |
| 1437132941 | Nancy Clark | Nurse Practitioner | 40 Pleasant St, Concord, NH 03301-4006 | 2005-11-29 |
| 1063013423 | Timothy Bailey | Nurse Practitioner | 36 Clinton St, Concord, NH 03301-2359 | 2020-11-03 |
| 1447868617 | Meghan Dumas Farley | Nurse Practitioner | 36 Clinton St, Concord, NH 03301-2359 | 2020-07-14 |
| 1073145199 | Ry K Billadeau | Nurse Practitioner | 33 Warren St, Concord, NH 03301-4049 | 2020-02-06 |
| 1073158101 | David Jihun Choi | Nurse Practitioner | 281 N State St, Concord, NH 03301-3227 | 2019-11-13 |
| 1952969008 | Ifeatu B Enemmuo | Nurse Practitioner | 1333 Willow Pass Rd Ste 102, Concord, CA 94520-5225 | 2019-06-04 |
| Find all providers in CONCORD | ||||
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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.