DR. LACY STICE, LLC (NPI# 1700447422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700447422 |
| Entity Type | Organization |
| Organization Name | DR. LACY STICE, LLC |
| Practice Address |
4623 S Cooper St Ste 135 Arlington TX 76017-5831 |
| Practice Telephone | 8177014345 |
| Practice Fax Number | 8177014349 |
| Mailing Telephone | 8177014345 |
| Mailing Fax Number | 8177014349 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |
| Authorized Official Name | VANESSA MARIE BAUER (BILLING SPECIALIST) |
| Authorized Official Telephone | 8179484372 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Elevation Health | Doing Business As Name - Organization |
| Street Address |
4623 S COOPER ST STE 135 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76017-5831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149714 | Elite Vision Center | Optometrist | 5335 W. Sublett Road, Suite 600, Arlington, TX 76017 | 2019-11-26 |
| 1497390694 | Ijeoma Esther Osuji | Nurse Practitioner | 5307 Alta Vista Lane, Arlington, TX 76017 | 2019-11-12 |
| 1003385386 | Peace Within | Counselor | 5904 S. Cooper Ste. 104 - Pmb 162, Arlington, TX 76017 | 2018-11-16 |
| 1750883229 | Lumin Health Physician Group, Pa | Pain Medicine | 808 W Interstate 20 Suite 201, Arlington, TX 76017 | 2018-03-01 |
| 1215438643 | Clover Francis | Licensed Vocational Nurse | 5211 Saratoga Lane, Arlington, TX 76017 | 2018-02-21 |
| 1265942593 | Maria Luisa Gonzalez | Community Health Worker | 5916 Wind Drift Trail, Arllington, TX 76017 | 2017-09-29 |
| 1285150318 | Divya Patel | Counselor | 5201 Windy Meadow Drive, Arlington, TX 76017 | 2017-08-21 |
| 1912420217 | Natalia Sampaio Goodwin | Registered Nurse | 811 W. Interstate 20, Suite 212, Arlington, TX 76017 | 2017-07-19 |
| 1962939744 | Sean Christopher Hembree | Chiropractor | 4304 Sw Green Oaks Blvd Ste 150, Arlington, TX 76017 | 2017-05-11 |
| 1154866119 | Deborah Tuckey Nystrom | Physical Therapist | 2310 West I-20, Suite 204, Arlington, TX 76017 | 2016-12-30 |
| Find all providers in zip 76017 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928820 | Movement Methods Chiropractic | Chiropractor | 1276 N Wayne St Apt 617, Arlington, VA 22201-5852 | 2020-09-25 |
| 1417562075 | La'keisha Chanathan Taylor | Chiropractor | 4927 S Collins St Ste 105, Arlington, TX 76018-1167 | 2020-09-10 |
| 1265056832 | Monica Nguyen | Chiropractor | 201 E Lynn Creek Dr, Arlington, TX 76002-2774 | 2020-05-30 |
| 1013554591 | Rxwellness Spine & Health - Arlington LLC | Chiropractor | 3110 10th St N Ste A, Arlington, VA 22201-2070 | 2019-12-04 |
| 1225672116 | Jordan Miller | Chiropractor | 1201 Road To Six Flags St E Ste 103, Arlington, TX 76011-5044 | 2019-11-04 |
| 1649827536 | Epic Chiropractic Solutions Pllc | Chiropractor | 600 Six Flags Drive, Center Point Three, Suite 442, Arlington, TX 76011 | 2019-08-25 |
| 1629623053 | Kellus Ray Pruitt | Chiropractor | 808 Valley Oaks Ct, Arlington, TX 76012-2864 | 2019-08-02 |
| 1144874041 | Laura Armida Torrez | Chiropractor | 2502 Hunter Hill Dr, Arlington, TX 76012-5519 | 2019-07-29 |
| 1174180459 | Daniel N O'brien | Chiropractor | 113 W Division St, Arlington, WA 98223-1239 | 2019-05-22 |
| 1952875890 | Arthur Brandon Benitez | Chiropractor | 900 E Copeland Rd Ste 140, Arlington, TX 76011-4989 | 2019-01-14 |
| Find all providers in ARLINGTON | ||||
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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.