LACEY G SANFORD (NPI# 1689206906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689206906 |
| Entity Type | Individual |
| Full Name | LACEY G SANFORD |
| Credential | APRN |
| Practice Address |
417 Benjamin Ln Ste 101 Louisville KY 40222-4939 |
| Mailing Address |
Po Box 2118 Belfast ME 04915-4108 |
| Practice Telephone | 5024120597 |
| Practice Fax Number | 5024124637 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
3014019 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | LICENSE NUMBER | 3014019 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528470978 | Lacey Nicole Sanford | Social Worker | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2014-05-20 |
| Street Address |
417 BENJAMIN LN STE 101 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40222-4939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548332455 | Metro Pediatric Associates Pllc | Pediatrics | 417 Benjamin Ln Ste 101, Louisville, KY 40222-4939 | 2006-11-15 |
| 1518005156 | Christian Berkhahn | Pediatrics | 417 Benjamin Ln Ste 101, Louisville, KY 40222-4939 | 2007-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881507 | Lucas Counseling and Consulting | Counselor | 8134 New Lagrange Road Suite 100, Louisville, KY 40222 | 2020-11-06 |
| 1700424157 | Hope4hearts Counseling LLC | Community/Behavioral Health | 7321 New Lagrange Road, Louisville, KY 40222 | 2019-12-17 |
| 1982162509 | Sydney Sleadd | Massage Therapist | 7505 New Lagrange Rd, Ste 101, Louisville, KY 40222 | 2019-03-04 |
| 1205390127 | Rebecca A Street | Marriage & Family Therapist | 8134 New La Grange Rd Ste 227, Louisville, KY 40222 | 2019-01-24 |
| 1689176166 | Andrew Pennington | Social Worker | 1015 Dorsey Ln., Louisville, KY 40222 | 2018-03-01 |
| 1578085957 | Megan Lusco | Case Manager/Care Coordinator | 312 Whittington Parkway, Suite 020, Louisville, KY 40222 | 2017-07-07 |
| 1083149868 | Kate Oliver Ray | Optometrist | 2420 Lime Kiln Ln Ste H, Louisville, KY 40222 | 2017-04-28 |
| 1578094736 | Jacqueline Ward | Speech-Language Pathologist | 910 Fenley Avenue, Louisville, KY 40222 | 2017-03-21 |
| 1295195907 | Carol Massey | Psychologist | 7400 Newlagrange Roed, 308, Louisville, KY 40222 | 2016-02-24 |
| 1588047260 | Melissa Cosby | Case Manager/Care Coordinator | 312 Whittington Parkway Suite 020, Louisville, KY 40222 | 2015-06-30 |
| Find all providers in zip 40222 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326695255 | Norton Childrens Medical Group, LLC | Nurse Practitioner | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-08-26 |
| 1407402209 | Elleanor Gray | Nurse Practitioner | 411 E Chestnut St Ste 645, Louisville, KY 40202-1713 | 2019-08-16 |
| 1245287440 | Tammy A Pasko | Nurse Practitioner | 234 E. Gray St., Ste. 270, Louisville, KY 40202-1903 | 2006-05-31 |
| 1013988351 | Kellie Woodruff | Nurse Practitioner | 411 E Chestnut St # Street7, Louisville, KY 40202-1713 | 2006-01-26 |
| 1639172554 | Sharon C Metcalf | Nurse Practitioner | 555 S Floyd St, Louisville, KY 40202-3801 | 2005-05-24 |
| 1619582616 | Erica Ashley Persichetti | Nurse Practitioner | 90 Health Park Dr Ste 160, Louisville, CO 80027-9742 | 2020-09-15 |
| 1295361723 | Karen A Powers | Nurse Practitioner | 411 E Chestnut St # Street7, Louisville, KY 40202-1713 | 2020-03-16 |
| 1346872074 | Elizabeth Cotton | Nurse Practitioner | 231 E Chestnut St, Louisville, KY 40202-1821 | 2020-02-11 |
| 1336771161 | Norton Children's Medical Group, LLC | Nurse Practitioner | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2020-02-10 |
| 1205477833 | Norton Children's Medical Group, LLC | Nurse Practitioner | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-10-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40222 |
Please comment or provide details below to improve the information on LACEY G SANFORD.
| 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.