LACY BERKSHIRE (NPI# 1730548637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730548637 |
| Entity Type | Individual |
| Full Name | LACY BERKSHIRE |
| Practice Address |
2240 Winrow Rd Usa Meddac, Rwbahc Fort Huachuca AZ 85631 |
| Mailing Address |
2240 Winrow Ave Usa Meddac, Rwbahc Fort Huachuca AZ 85613 |
| Practice Telephone | 5205333634 |
| Mailing Telephone | 5205333634 |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-05-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LP042484 | AZ | Nursing Service Providers |
| Street Address |
2240 WINROW RD USA MEDDAC, RWBAHC |
| City | FORT HUACHUCA |
| State | AZ |
| Zip Code | 85631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053462 | Mary Eastep Gilstrap | Dental Hygienist | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2020-11-05 |
| 1154834844 | Paul G Foster | Dental Hygienist | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2017-11-16 |
| 1376087551 | Melissa Jones | Licensed Practical Nurse | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2016-12-07 |
| 1649726290 | Shandelon Garner | Registered Nurse | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2016-09-01 |
| 1841643558 | Kristine J Encinas | Licensed Vocational Nurse | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2016-07-18 |
| 1356791024 | Rashamel Smart | Dental Assistant | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2016-06-14 |
| 1285083170 | Annika Rose Dunmire | Dental Hygienist | 2240 Winrow Rd, Bldg 45505, Fort Huachuca, AZ 85613-5080 | 2016-06-10 |
| 1235588385 | Nicole Schiffer | Dental Hygienist | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2016-06-09 |
| 1881048619 | Kay Chaparro | Licensed Practical Nurse | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2016-04-18 |
| 1700230935 | Deborah De La Ossa | Clinic/Center | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2016-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063632347 | Kent Shelton | Local Education Agency (LEA) | 711 Mcnab Parkway and Main, San Manuel, AZ 85631 | 2007-04-27 |
| 1447381264 | Mark Christopher Wiseley | Psychologist | 711 Mcnab Parkway, San Manuel, AZ 85631 | 2007-03-07 |
| 1902936685 | Mammoth-san Manuel Usd #8 | Local Education Agency (LEA) | 711 Mcnab Parkway & Main, San Manuel, AZ 85631 | 2007-03-06 |
| 1851451694 | Ruth Seppala | Nurse Practitioner | 23 S Mcnab Pkwy, San Manuel, AZ 85631 | 2006-12-11 |
| 1134127715 | Barbara Turton | Physical Therapist | 23 S Mcnab Parkway, San Manuel, AZ 85631 | 2005-07-08 |
| 1972506574 | Robert Brower | Family Medicine | 23 Mcnab Parkway, San Manuel, AZ 85631 | 2005-05-27 |
| 1467807131 | Sharan Wieberdink | Nurse Practitioner | 23 S Mcnab Pkwy, San Manuel, AZ 85631 | 2016-04-29 |
| 1659651172 | Seth Jacob Tate | Nurse Practitioner | 23 S Mcnab Pkwy, San Manuel, AZ 85631 | 2011-08-29 |
| 1821328030 | Desert Palms Physical Therapy- Catalina PC | Physical Therapist | 23 Mcnab Parkway, San Manuel, AZ 85631 | 2010-01-11 |
| 1497949226 | Boru Nale | Family Medicine | 23 S Mcnab Pkwy, San Manuel, AZ 85631 | 2007-09-05 |
| Find all providers in zip 85631 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275986986 | Jaesoon Katie Cha | Licensed Practical Nurse | 716 Fuller St, Fort Huachuca, AZ 85613-1624 | 2016-07-18 |
| 1124550157 | Diana Wakelyn | Licensed Practical Nurse | 2240 Winrow Ave, Fort Huachuca, AZ 85613 | 2017-03-29 |
| 1376087551 | Melissa Jones | Licensed Practical Nurse | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2016-12-07 |
| 1093258741 | Nancylee Ramsey | Licensed Practical Nurse | 2240 Winrow Ave, Fort Huachuca, AZ 85613 | 2016-11-29 |
| 1669924445 | Mary Jimenez | Licensed Practical Nurse | 2240 Winrow Ave, Usa Meddac,rwbahc, Fort Huachuca, AZ 85613 | 2016-10-27 |
| 1316499197 | Janet Malave | Licensed Practical Nurse | 2240 Winrow Ave., Usa Meddac, Rwbahc, Fort Huachuca, AZ 85613 | 2016-10-27 |
| 1033660733 | Kelly Thomas | Licensed Practical Nurse | 2240 Winrow Ave, Usa Meddac, Rwbahc, Fort Huachuca, AZ 85613 | 2016-10-18 |
| 1881048619 | Kay Chaparro | Licensed Practical Nurse | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2016-04-18 |
| 1063873164 | Michelle Arrieta | Licensed Practical Nurse | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2016-03-16 |
| 1114387016 | Brenda Vargas | Licensed Practical Nurse | 2240 Winrow Ave, Usa Meddac, Rwbahc, Fort Huachuca, AZ 85613 | 2016-03-04 |
| Find all providers in FORT HUACHUCA | ||||
| City | FORT HUACHUCA |
| Zip Code | 85631 |
Please comment or provide details below to improve the information on LACY BERKSHIRE.
| 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.