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).
| 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 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | STATE LICENSE | 0024172066 | 01 |
| MD | MARYLAND STATE BOARD OF NURSING | R187768 | 01 |
| Street Address |
4200 ALTAMONT PL |
| City | WHITE PLAINS |
| State | MD |
| Zip Code | 20695-3052 |
| 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 |
| 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 Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| 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 | ||||
| City | WHITE PLAINS |
| Zip Code | 20695 |
Please comment or provide details below to improve the information on MRS. AASTASSHIA LYNN 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.