MRS. AASTASSHIA LYNN LACY


Address: 4200 Altamont Pl, White Plains, MD 20695-3052
Phone: 3016452774

MRS. AASTASSHIA LYNN LACY (NPI# 1992107296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992107296
Entity Type Individual
Full Name MRS. AASTASSHIA LYNN LACY
Other Name MRS. AASTASSHIA LYNN LACY
Credential FNP-BC
Practice Address 4200 Altamont Pl
White Plains
MD 20695-3052
Practice Telephone 3016452774
Mailing Telephone 3016453774
Enumeration Date 2014-09-18
Last Update Date 2016-08-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 0024172066 VA Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
R187768 MD Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA STATE LICENSE 0024172066 01
MD MARYLAND STATE BOARD OF NURSING R187768 01

Office Location

Street Address 4200 ALTAMONT PL
City WHITE PLAINS
State MD
Zip Code 20695-3052

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952606303 Marilyn Rankin Nurse Practitioner 4200 Altamont Pl, White Plains, MD 20695-3052 2011-01-17
1265033153 Brooke Garber Physician Assistant 4200 Altamont Pl, White Plains, MD 20695-3052 2020-11-05
1578193884 Yaw Obeng Darko Pharmacist 4200 Altamont Pl, White Plains, MD 20695-3052 2020-01-26
1902310808 Shanice Renee Levy Pharmacist 4200 Altamont Pl, White Plains, MD 20695-3052 2017-11-30
1881136554 Jennafer Luckey Nurse Practitioner 4200 Altamont Pl, White Plains, MD 20695-3052 2016-11-13
1225401227 Tracey Royer Nurse Practitioner 4200 Altamont Pl, White Plains, MD 20695-3052 2015-11-12
1487022679 Jacquetta George Nurse Practitioner 4200 Altamont Pl, White Plains, MD 20695-3052 2015-09-04
1699174607 Adetokunbo Oladeinde Pharmacist 4200 Altamont Pl, White Plains, MD 20695-3052 2014-08-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023590452 Dominique Bouldin Driver 11136 Saint Christopher Drive, White Plains, MD 20695 2018-09-01
1366928665 Wooten Lyons LLC Psychiatry & Neurology 10665 Stanhaven Place, Suite 300a, White Plains, MD 20695 2018-07-19
1962914507 Kids By The Bay Dental LLC Clinic/Center 5010 Regency Place Ste 102, White Plains, MD 20695 2017-11-03
1528592896 Darlena Austin Social Worker 5310 Exeter Place, White Plains, MD 20695 2017-04-13
1609307040 Phylicia Wooten Counselor 5510 Regency Place Suite 203, White Plains, MD 20695 2017-03-27
1760856488 Stephanie W Allen Physical Therapist Ospt South Office 4470 Regency Place, Suite #100, White Plains, MD 20695 2015-11-18
1457743122 Raven Gray Physical Therapy Assistant 10708 Esprit Place, White Plains, MD 20695 2015-03-04
1043629850 Adenike Kupolati Pharmacist 4220 Altamont Place, White Plains, MD 20695 2014-08-06
1942532064 Divine Intervention Community Support Services Community/Behavioral Health 7727 Chesterfied Ct., White Plains, MD 20695 2010-02-01
1740517895 Optionet Support Service Community/Behavioral Health 7727 Chesterfield Court, White Plains, MD 20695 2009-11-11
Find all providers in zip 20695

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679186878 Janelle Berridge Nurse Practitioner 36 Crest Dr, White Plains, NY 10607-2724 2020-08-26
1346870227 Nkeiru Stella Omo Nurse Practitioner 5193 Atlantis Ln, White Plains, MD 20695-3180 2020-01-20
1497393334 Hilda Mary Nurse Practitioner 24 Carhart Ave Apt 214, White Plains, NY 10605-1449 2019-12-10
1104472042 Alfred Jalloh Nurse Practitioner 4 W Red Oak Ln Ste 310, White Plains, NY 10604-3606 2019-08-15
1821579525 Erin-marie Kernan-hobart Nurse Practitioner 333 Westchester Ave Ste 104, White Plains, NY 10604-2910 2018-08-22
1346729290 Karla Washington Nurse Practitioner 4255 Altamont Pl Ste 301, White Plains, MD 20695-3082 2018-08-11
1326551755 Opal Havaleen Crosse Nurse Practitioner 68 Jackson Pl, White Plains, NY 10603-3025 2017-11-07
1356866743 Gracy Sebastian Nurse Practitioner 30 Crest Dr, White Plains, NY 10607-2718 2017-08-07
1093264079 Nicole Hidalgo Nurse Practitioner 95 N Broadway Apt B2-8, White Plains, NY 10603-4809 2016-10-01
1497133748 Victoria Orie Bassey Nurse Practitioner 4475 Regency Place Ste 303, White Plains, MD 20695-0000 2015-05-07
Find all providers in WHITE PLAINS

Competitor

Search similar providers

City WHITE PLAINS
Zip Code 20695

Improve Information

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Dataset Information

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.

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