MRS. LACEY DANIELLE KEETH (NPI# 1679823090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679823090 |
| Entity Type | Individual |
| Full Name | MRS. LACEY DANIELLE KEETH |
| Credential | MSN, FNP-C |
| Practice Address |
55 Sergeant Prentiss Dr Suite 100 Natchez MS 39120-4782 |
| Practice Telephone | 6013040020 |
| Practice Fax Number | 6013040023 |
| Mailing Telephone | 6013040020 |
| Mailing Fax Number | 6013040023 |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2015-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R872599 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
55 SERGEANT PRENTISS DR SUITE 100 |
| City | NATCHEZ |
| State | MS |
| Zip Code | 39120-4782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174576730 | Tommie Brian Stretch | Pediatrics | 55 Sergeant Prentiss Dr, Suite 7, Natchez, MS 39120-4782 | 2006-05-17 |
| 1669979191 | Latoya Scott Hammett | Counselor | 55 Sergeant Prentiss Dr, Natchez, MS 39120-4782 | 2018-04-11 |
| 1669763306 | Tina Bruce | Counselor | 55 Sergeant Prentiss Dr, Ste 102, Natchez, MS 39120-4791 | 2011-04-28 |
| 1932347259 | Mary Ann Roth-wyrick | Occupational Therapist | 55 Sergeant Prentiss Dr, Suite 8, Natchez, MS 39120-4782 | 2009-01-23 |
| 1124275581 | Family Clinic for Health & Wellness, LLC. | Nurse Practitioner | 55 Sergeant Prentiss Dr, Suite 104, Natchez, MS 39120-4782 | 2008-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903518 | Rosa L. Newman | Foster Care Agency | 722 North Rankin St, Natchez, MS 39120 | 2019-10-11 |
| 1114572625 | Tiffany Cassandra Lockhart | Counselor | 60 Roux Road, Natchez, MS 39120 | 2019-08-02 |
| 1164918728 | We Care Express LLC | Non-emergency Medical Transport (VAN) | 137 Greystone Pl, Natchez, MS 39120 | 2018-07-06 |
| 1053841585 | Tyler Lee Huls | Specialist/Technologist | 48 Sgt Prentiss Drive, Natchez, MS 39120 | 2017-06-18 |
| 1336594985 | Nkechinyere Christina Nwoko | Podiatrist | 46 Sgt Prentiss Dr Ste 201b, Natchez, MS 39120 | 2016-05-02 |
| 1073983433 | Lillie Christine Hauer | Case Manager/Care Coordinator | 9 Roux 61, Suite C, Natchez, MS 39120 | 2015-09-29 |
| 1760818017 | Miss-lou Dental LLC | Dentist | 110 Highway 61 South, Natchez, MS 39120 | 2013-09-18 |
| 1922344902 | Bluebonnet Dental Care Natchez | Dentist | 101 Highway 61 South, Natchez, MS 39120 | 2012-12-20 |
| 1265781033 | Hal Sheldon Edwards | Pharmacist | 285 Sgt Prentiss Drive, Natchez, MS 39120 | 2012-09-07 |
| 1790031607 | Catherine Misita | Social Worker | 113 N Union St, Natchez, MS 39120 | 2012-07-29 |
| Find all providers in zip 39120 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780193011 | Cleopathia Campbell Turner | Nurse Practitioner | 15 Rolling Hills Dr, Natchez, MS 39120-2163 | 2017-09-29 |
| 1497272041 | Hazel M Washington | Nurse Practitioner | 6 Lily Ln, Natchez, MS 39120-9415 | 2017-08-24 |
| 1922489608 | Krystal Michelle Conerly | Nurse Practitioner | 151 Jeff Davis Blvd, Suite C, Natchez, MS 39120-5140 | 2015-06-17 |
| 1487041505 | Sarah Redd Gousset | Nurse Practitioner | 131 Jefferson Davis Blvd, Suite F, Natchez, MS 39120-5143 | 2015-04-16 |
| 1285074369 | Genna Yelverton Guedon | Nurse Practitioner | 46 Seargent Dr Ste 203, Natchez, MS 39120-4755 | 2013-07-03 |
| 1730488040 | Delores Lanehart Spinks | Nurse Practitioner | 204 Traceside Dr, Natchez, MS 39120-9278 | 2011-03-25 |
| 1780718312 | Evelyn Ann Stiner | Nurse Practitioner | 500 N Dr Ml King Jr St, Natchez, MS 39120-2955 | 2007-03-15 |
| 1366598203 | Tarsha Carter Ambeau | Nurse Practitioner | 7 Primrose Lane, Natchez, MS 39120 | 2007-01-25 |
| 1124193529 | Carolyn B Dollar | Nurse Practitioner | 37 Benbrook, 1495-a Us Highway 61 South, Woodville, Ms 39669, Natchez, MS 39120 | 2006-11-21 |
| 1053356410 | Blanche Mae Bell | Nurse Practitioner | 500 N Mlk, Natchez, MS 39120-2955 | 2006-06-19 |
| Find all providers in NATCHEZ | ||||
Please comment or provide details below to improve the information on MRS. LACEY DANIELLE KEETH.
| 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.