KATIE ANN LACY (NPI# 1710469986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710469986 |
| Entity Type | Individual |
| Full Name | KATIE ANN LACY |
| Credential | NURSE PRACTITIONER |
| Practice Address |
5 Limited Pkwy E # Dc5 Reynoldsburg OH 43068-5300 |
| Mailing Address |
5 Limited Pkwy E Reynoldsburg OH 43068-5300 |
| Practice Telephone | 6145772273 |
| Practice Fax Number | 6145772272 |
| Mailing Telephone | 6145772279 |
| Mailing Fax Number | 6145772272 |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2020-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F07181075 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
CNP.023491 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | COSMETIC | CNP.023491 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 165 N Murray Hill Rd, Columbus, OH 432281585 | 6142213300 |
| Street Address |
5 LIMITED PKWY E # DC5 |
| City | REYNOLDSBURG |
| State | OH |
| Zip Code | 43068-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871107235 | Laura Lynn Mason | In Home Supportive Care | 1788 Pickering Drive, Reynoldburg, OH 43068 | 2020-09-03 |
| 1952929267 | Devon Marie Kaster | Physical Therapy Assistant | 14176 National Road Sw, Reynoldsburg, OH 43068 | 2020-07-13 |
| 1366061830 | Ashlie Bielski | Case Manager/Care Coordinator | 1900 Brie Rd, Reynoldsburg, OH 43068 | 2020-04-14 |
| 1336703115 | Primary Healthcare Services, LLC | Home Health | 1618 Lancaster Avenue, Reynoldsburg, OH 43068 | 2019-04-26 |
| 1902391311 | Joshua K. Portwood | Counselor | 1900 Brice Rd., Reynoldsburg, OH 43068 | 2018-06-27 |
| 1912413204 | Robinet Elane Smith | Home Health Aide | 2584 Breanna Pl, Reynoldsburg, OH 43068 | 2017-12-21 |
| 1225548142 | Lalise Tesfaye Senbeta | Registered Nurse | 796 Whistlewood, Reynoldsburg, OH 43068 | 2017-10-05 |
| 1932619970 | Whitehall Cap Inc | Counselor | 1900 Brice Rd, Reynoldsburg, OH 43068 | 2017-10-04 |
| 1366966681 | Jodie Kimbler | Home Health Aide | 1363 Glenview St, Reynoldsburg, OH 43068 | 2017-07-28 |
| 1154851673 | Erin R Smith | Pharmacist | 8460 East Main Street, Reynoldsburg, OH 43068 | 2017-06-18 |
| Find all providers in zip 43068 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902433360 | Rachel Carr | Nurse Practitioner | 1122 Dawn Dr, Reynoldsburg, OH 43068-9600 | 2020-03-25 |
| 1033740824 | Samuel Agyenim Boateng | Nurse Practitioner | Holy Hills Healthcare Services, LLC, 6760 Tussing Road Suite 104, Reynoldsburg, OH 43068-4136 | 2020-01-30 |
| 1982120564 | William Acheampong | Nurse Practitioner | 6760 Tussing Rd Ste 104, Reynoldsburg, OH 43068-4136 | 2017-08-16 |
| 1295074441 | Lynn R Ford | Nurse Practitioner | 8385 Emeric Close, Reynoldsburg, OH 43068-7623 | 2013-02-07 |
| 1336763374 | Taren Lewis | Nurse Practitioner | 1755 Lancaster Ave, Reynoldsburg, OH 43068-3108 | 2020-06-05 |
| 1043875636 | Tamu S Brown | Nurse Practitioner | 6760 Tussing Rd Ste 104, Reynoldsburg, OH 43068-4136 | 2019-05-08 |
| 1285297127 | Eric D Mcclimans | Nurse Practitioner | 1649 Brice Rd, Reynoldsburg, OH 43068-2758 | 2019-04-16 |
| 1922594746 | Mamadou Saliou Diallo | Nurse Practitioner | 6760 Tussing Rd Ste 104, Reynoldsburg, OH 43068-4136 | 2018-07-04 |
| 1265924187 | D'aren Reed | Nurse Practitioner | 8467 E Main St, Reynoldsburg, OH 43068 | 2018-06-06 |
| 1891227328 | Caroline Richey | Nurse Practitioner | 2014 Baltimore Reynoldsburg Rd, Reynoldsburg, OH 43068-3261 | 2017-04-03 |
| Find all providers in REYNOLDSBURG | ||||
| City | REYNOLDSBURG |
| Zip Code | 43068 |
Please comment or provide details below to improve the information on KATIE ANN LACY.
| 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.