LACIE JAI ANDERSON (NPI# 1629547948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629547948 |
| Entity Type | Individual |
| Full Name | LACIE JAI ANDERSON |
| Credential | LPN |
| Practice Address |
6721 Nw 124th Ter Oklahoma City OK 73142-3124 |
| Practice Telephone | 4052010322 |
| Mailing Telephone | 4052010322 |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2018-11-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 60670 | OK | Nursing Service Providers |
| Street Address |
6721 NW 124TH TER |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73142-3124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184003790 | Advance Physicians Group LLC | Clinic/Center | 13401 N Macarthur Blvd, Oklahoma City, OK 73142 | 2015-05-28 |
| 1366840084 | Lindsey Jackson | Case Manager/Care Coordinator | 12051 Parkland Pl, Oklahoma City, OK 73142 | 2014-12-11 |
| 1164866737 | Vitality Wellness | Clinic/Center | 5740 Nw 135th St., Oklahoma City, OK 73142 | 2013-04-25 |
| 1356694558 | Joel Mitchell Sprinkle | Community Health Worker | 13100 Brandon Pl, Oklahoma City, OK 73142 | 2012-10-25 |
| 1689923856 | Sampson Mcsidney | Case Management | 14717 Hollyhock Dr, Oklahoma City, OK 73142 | 2012-09-04 |
| 1992087860 | Derek Reed Mccarver | Pharmacist | 1400 E. 2nd St, Edmond, OK 73142 | 2011-09-15 |
| 1326335811 | Laser Spine Surgery Center of Oklahoma, LLC | Clinic/Center | 4727 Gaillardia Parkway, Suite 150, Oklahoma City, OK 73142 | 2011-07-05 |
| 1215220801 | James Kenneth Fisher | Psychologist | 12522 Abbotts Way, Oklahoma City, OK 73142 | 2011-05-16 |
| 1174850408 | Diagnostic Laboratory of Oklahoma, LLC | Clinical Medical Laboratory | 5911 West Memorial Road, Oklahoma City, OK 73142 | 2009-11-06 |
| 1417113275 | Reuben Seth Thomas | Optometrist | 6200 W Memorial Rd Ste A, Oklahoma City, OK 73142 | 2008-07-31 |
| Find all providers in zip 73142 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942825872 | Larita Leake | Licensed Practical Nurse | 10404 Vineyard Blvd Ste C, Oklahoma City, OK 73120-3739 | 2020-06-16 |
| 1558784363 | Tamra Fields-hogan | Licensed Practical Nurse | 3301 N Mlk Ave, Oklahoma City, OK 73111-4216 | 2014-01-30 |
| 1851651327 | Tisha Denise Richardson | Licensed Practical Nurse | 8000 Breezewood Dr, Oklahoma City, OK 73135-6338 | 2012-05-18 |
| 1164781522 | Jacqueline Elizabeth Baily | Licensed Practical Nurse | 2401 Nw 39th/i-44 Service Rd., Suite 103, Oklahoma City, OK 73112 | 2012-05-04 |
| 1043459944 | Veronica V Curtis I | Licensed Practical Nurse | 3805 Nw 52nd St, Oklahoma City, OK 73112-2085 | 2009-02-17 |
| 1114117108 | Bennett Lee Warman | Licensed Practical Nurse | 10509 Windway Ave, Oklahoma City, OK 73162 | 2007-07-26 |
| 1750583845 | Bettyjo Dillard | Licensed Practical Nurse | 500 N Meridian Ave Ste 107, Oklahoma City, OK 73107-5706 | 2007-06-01 |
| 1407069982 | Robbie J Callins Jr. | Licensed Practical Nurse | 1215 N W 25 Street, Oklahoma City, OK 73106 | 2007-05-08 |
| 1235351990 | Johnnie Willene Rogers | Licensed Practical Nurse | 12601 N Pennsylvania Ave Apt 121, Oklahoma City, OK 73120-9403 | 2007-05-03 |
| 1811027568 | Deborah Sue Melser | Licensed Practical Nurse | 920 Stanton L. Young, Oklahoma City, OK 73104 | 2007-03-06 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73142 |
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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.