MRS. MARYLOIS LACEY (NPI# 1851549448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851549448 |
| Entity Type | Individual |
| Full Name | MRS. MARYLOIS LACEY |
| Credential | APRN |
| Practice Address |
2002 Holcombe Blvd Houston TX 77030-4211 |
| Mailing Address |
12103 Opal Creek Dr Pearland TX 77584-1650 |
| Practice Telephone | 7137911414 |
| Practice Fax Number | 7137947917 |
| Mailing Telephone | 7137911414 |
| Mailing Fax Number | 7147947917 |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
131383 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2002 HOLCOMBE BLVD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-4211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760488290 | Gayathri Bhagwath | Internal Medicine | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2005-06-21 |
| 1023615143 | Aji Sam | Nurse Practitioner | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-10-01 |
| 1639785280 | Jessie Ho | Pharmacist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-09-18 |
| 1326653437 | Stacey Edwards | Genetic Counselor, MS | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-09-15 |
| 1104431436 | Jessica Taylor Honkomp | Genetic Counselor, MS | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-09-14 |
| 1205449360 | Holly Denise Robertson | Registered Nurse | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-08-28 |
| 1033720933 | Alana Rice | Pharmacist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-08-13 |
| 1033720925 | Noelle Marie Cordova | Pharmacist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-08-13 |
| 1679184568 | Khushbu A Patel | Pharmacist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-08-13 |
| 1336750314 | Melissa Lorraine Alvarez | Radiologic Technologist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-08-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821009234 | Alice P. Morant | Clinical Nurse Specialist | 2250 S. Gesser Rd., Apt 409, Houston, TX 77063 | 2006-08-10 |
| 1033125893 | Margaret A. Mcmartin | Clinical Nurse Specialist | 1311 Antoine Dr Apt 283, Houston, TX 77055-6979 | 2006-08-01 |
| 1699027482 | Shanthi E Rubin | Clinical Nurse Specialist | 550 Westcott St, Ste 520, Houston, TX 77007-9015 | 2012-10-04 |
| 1013033018 | Amy Jean Wolford | Clinical Nurse Specialist | 14340 Torrey Chase Blvd, Suite 160, Houston, TX 77014-1021 | 2007-03-21 |
| 1053468579 | Dona Marie Gambrel | Clinical Nurse Specialist | 9401 Southwest Fwy, Houston, TX 77074-1407 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710599204 | Angeline Ngwe Taboh | Clinical Nurse Specialist | 2944 Marco Dr, Grand Prairie, TX 75052-8724 | 2020-08-18 |
| 1578173738 | Hope Health Services, LLC | Clinical Nurse Specialist | 19902 Roycroft Ln, Richmond, TX 77407-4000 | 2020-08-03 |
| 1730554999 | C-trilogy Comprehensive Clinical Care | Clinical Nurse Specialist | 104 Rothrock Dr, Suite A, Longview, TX 75602-1528 | 2015-12-14 |
| 1710384631 | Mental Health Professionals of San Antonio | Clinical Nurse Specialist | 1703 N Loop 1604 W Apt 1203, San Antonio, TX 78258-4679 | 2014-11-20 |
| 1972937316 | Tricia G. Green | Clinical Nurse Specialist | 907 Kincaid Pl, Longview, TX 75604 | 2013-08-21 |
| 1801185301 | Horizon Senior Care Inc | Clinical Nurse Specialist | 229 Bradfield Ln, Rockwall, TX 75087-9272 | 2011-04-05 |
| 1518264696 | Abigail E Lopez | Clinical Nurse Specialist | 4225 Camelot Heights Dr., El Paso, TX 79912-2702 | 2011-02-25 |
| 1558506675 | Lynn Veronica Heselton | Clinical Nurse Specialist | 203 Lorine St, Keller, TX 76248-3434 | 2008-12-03 |
| 1851558266 | Alfredo Arellano | Clinical Nurse Specialist | 1122 Montana Ave Ste A, El Paso, TX 79902-5510 | 2008-05-22 |
| 1881870244 | Steffani L Powell | Clinical Nurse Specialist | 100 Bunny Run Ln, Horseshoe Bay, TX 78657-6188 | 2008-01-16 |
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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.