MRS. LACEY KATHLEEN THOMPSON (NPI# 1366965287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366965287 |
| Entity Type | Individual |
| Full Name | MRS. LACEY KATHLEEN THOMPSON |
| Other Name | MRS. LACEY PROCTOR |
| Credential | PA-S |
| Practice Address |
12935 Highway 231 431 N Hazel Green AL 35750-8631 |
| Mailing Address |
1944 Old Hickory Blvd Brentwood TN 37027-4014 |
| Practice Telephone | 2568286766 |
| Practice Fax Number | 8667829553 |
| Mailing Telephone | 6153947652 |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2020-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1366965287 | 01 | |
| AL | AL LICENSE | PA-1566 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730509084 | Lacey Thompson | Case Manager/Care Coordinator | 110 West Broadway, Suite 202, Williston, ND 58801 | 2014-04-24 |
| 1295271971 | Lacey Theresa Thompson | Social Worker | 5868 Baker Rd, Minnetonka, MN 55345-5903 | 2017-01-18 |
| Street Address |
12935 HIGHWAY 231 431 N |
| City | HAZEL GREEN |
| State | AL |
| Zip Code | 35750-8631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356373542 | Bonnie Jane Peterson | Nurse Practitioner | 12935 Highway 231 431 N, Hazel Green, AL 35750-8631 | 2006-07-07 |
| 1013424886 | Gregory Matthew Headley | Nurse Practitioner | 12935 Highway 231 431 N, Hazel Green, AL 35750-8631 | 2018-01-03 |
| 1821449315 | Sandra Tigue Chaviers | Family Medicine | 12935 Highway 231 431 N, Hazel Green, AL 35750-8631 | 2016-06-25 |
| 1245511138 | Mary C Kimbrell | Nurse Practitioner | 12935 Highway 231 431 N, Hazel Green, AL 35750-8631 | 2011-09-06 |
| 1104052059 | Laura Lee Taylor M.d.,llc | Family Medicine | 12935 Highway 231 431 N, Hazel Green, AL 35750-8631 | 2009-06-05 |
| 1083824601 | Laura Lee Taylor | Family Medicine | 12935 Highway 231 431 N, Hazel Green, AL 35750-8631 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942787213 | Sarah Stapelmann | Dietitian, Registered | 158 Elkwood Section Rd, Hazel Green, AL 35750 | 2018-07-19 |
| 1396262259 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 14731 Hwy 231 431 N, Unit A, Hazel Green, AL 35750 | 2017-08-23 |
| 1225589872 | Peulthai House | Marriage & Family Therapist | 14881 231/431 Highway North, Hazel Green, AL 35750 | 2016-10-19 |
| 1124574074 | Peulthai House/behavioral Health Day Treatment Center | Clinic/Center | 14881 G Hwy 231/431, North Hazel Green, AL 35750 | 2016-08-31 |
| 1679964118 | Wal-mart Stores East, Lp | Technician/Technologist | 14595 Hwy 231-431 N, Hazel Green, AL 35750 | 2015-02-05 |
| 1710306311 | Hazel Green Dental | Dentist | 14244 Highway 231/431 N, Hazel Green, AL 35750 | 2014-04-10 |
| 1306024096 | The Drug Store At Griners LLC | Pharmacy | 14470 Highway 231 431 North, Hazel Green, AL 35750 | 2008-02-05 |
| 1588874291 | Sidney Earl Lyle | Pharmacist | 189 Oakview Road, Hazel Green, AL 35750 | 2007-05-23 |
| 1952463929 | North Alabama Chiropractic Wellness Center, Inc | Chiropractor | 14253 Highway 231 North, Hazel Green, AL 35750 | 2006-12-15 |
| 1760570865 | James Patrick Duggan | Chiropractor | 15888 Hwy 431 231 N, Hazel Green, AL 35750 | 2006-10-11 |
| Find all providers in zip 35750 | ||||
| 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 |
|---|---|---|---|---|
| 1629679295 | Maltiece O'neal El | Physician Assistant | 1331 14th Ave S Apt 12, Birmingham, AL 35205-5341 | 2020-11-02 |
| 1578170189 | Emily Klae Carnes | Physician Assistant | 102 Breezy Pointe Ln, Huntsville, AL 35811-4604 | 2020-09-28 |
| 1477164580 | Rebecca Diane Davis | Physician Assistant | 701 S. 19th St, Lhr 112, Birmingham, AL 35233 | 2020-08-12 |
| 1437769981 | Kelsey Marie Robinson | Physician Assistant | 2400 Mahaska Dr, Birmingham, AL 35244-2241 | 2020-08-08 |
| 1235749276 | Danna Self | Physician Assistant | 7848 Shriner Dr, Pinson, AL 35126-2416 | 2020-08-04 |
| 1831716265 | Joseph Wayne Pough | Physician Assistant | 6711 Moffett Rd, Mobile, AL 36618-4413 | 2020-07-01 |
| 1619591922 | Alec Weil | Physician Assistant | 1400 19th St S, Birmingham, AL 35205-4903 | 2020-06-02 |
| 1689293888 | Molly Lynn Miller | Physician Assistant | 619 19th St S Fl 6, Birmingham, AL 35249-1900 | 2020-04-09 |
| 1710516208 | Dnika C Joseph | Physician Assistant | 255 Three Sons Dr, Hoover, AL 35226-2952 | 2020-04-06 |
| 1861021552 | Zachary Beau Jones | Physician Assistant | 6701 Dickens Ferry Rd Apt 15, Mobile, AL 36608-3969 | 2020-04-04 |
| Find all providers with the same taxonomy | ||||
| City | HAZEL GREEN |
| Zip Code | 35750 |
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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.