LACEY ELLYSON (NPI# 1659868644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659868644 |
| Entity Type | Individual |
| Full Name | LACEY ELLYSON |
| Other Name | LACEY GLOVER |
| Credential | NP-C |
| Practice Address |
400 N Market St Lisbon OH 44432-1146 |
| Mailing Address |
1 Perkins Sq Akron OH 44308-1063 |
| Practice Telephone | 3304249866 |
| Mailing Telephone | 3304249866 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.022504 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 N MARKET ST |
| City | LISBON |
| State | OH |
| Zip Code | 44432-1146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447705132 | Christina Lee Hurst | Nurse Practitioner | 400 N Market St, Lisbon, OH 44432-1014 | 2016-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871135509 | Laura Ashley Wilson | Registered Nurse | 964 North Market Street, Lisbon, OH 44432 | 2019-10-15 |
| 1720525504 | Opportunity Homes Inc. | Intermediate Care Facility, Mentally Retarded | 7745 Rose Drive, Lisbon, OH 44432 | 2017-01-31 |
| 1811149800 | Jessica L. O'dea | Counselor | 964 N. Market Street, Lisbon, OH 44432 | 2008-10-21 |
| 1063624542 | Kim Kemats | Home Health | 7941 Lisbon-salem Road, Apartment D, Lisbon, OH 44432 | 2007-05-04 |
| 1962624486 | Columbiana County Office On Aging | Respite Care | 785 E. State Street, Salem, OH 44432 | 2007-05-03 |
| 1912023813 | Excel Physical Therapy, Inc | Physical Therapist | 7735 State Route 45, Suite E, Lisbon, OH 44432 | 2007-03-22 |
| 1316583792 | Jamie Lynn Elenz | Nurse Practitioner | 7360 State Route 45, Lisbon, OH 44432 | 2019-11-21 |
| 1952484685 | Family Health Care of Columbiana County Inc | Family Medicine | 356 E Lincoln Way, Lisbon, OH 44432 | 2006-10-24 |
| 1053457481 | Marilyn M. Latham | Counselor | 964 N Market St, Lisbon, OH 44432-0464 | 2007-01-30 |
| 1265578512 | Mary Ann Snyder | Counselor | 964 N Market St, Lisbon, OH 44432-0464 | 2007-01-30 |
| Find all providers in zip 44432 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245719806 | Deanna Rae Lyder | Nurse Practitioner | 6168 Low Rd, Lisbon, OH 44432-9347 | 2018-08-14 |
| 1417932823 | Meredith K Kelsen | Nurse Practitioner | 10 9th Ave E, Lisbon, ND 58054 | 2005-12-08 |
| 1326671561 | Jessica Whippo | Nurse Practitioner | 38506 Saltwell Rd, Lisbon, OH 44432-9326 | 2020-02-17 |
| 1316583792 | Jamie Lynn Elenz | Nurse Practitioner | 7360 State Route 45, Lisbon, OH 44432 | 2019-11-21 |
| 1750943783 | Sarah Frauenberg | Nurse Practitioner | 10 9th Ave E, Lisbon, ND 58054-4738 | 2019-06-29 |
| 1871063701 | Brooke Loren Boyd | Nurse Practitioner | 7880 Lincole Pl, Lisbon, OH 44432-8322 | 2018-12-04 |
| 1407341977 | Kaley Nicole Day | Nurse Practitioner | 7880 Lincole Pl, Lisbon, OH 44432-8322 | 2018-06-27 |
| 1093131468 | Loren Jason Louk | Nurse Practitioner | 7880 Lincole Pl, Lisbon, OH 44432-8322 | 2014-03-10 |
| 1902247752 | Diane L Weaver | Nurse Practitioner | 7880 Lincole Pl, Lisbon, OH 44432-8322 | 2013-07-09 |
| 1558701615 | Kelli Lynn Pfaff | Nurse Practitioner | 10 9th Ave E, Lisbon, ND 58054-4738 | 2013-07-03 |
| Find all providers in LISBON | ||||
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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.