MS. LACY SMITH (NPI# 1992358378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992358378 |
| Entity Type | Individual |
| Full Name | MS. LACY SMITH |
| Other Name | MISS LACY MCINTYRE |
| Credential | FNP-BC |
| Practice Address |
504 N Kansas Ave Ste B1 Liberal KS 67901-3346 |
| Practice Telephone | 6206045274 |
| Practice Fax Number | 8447045822 |
| Mailing Telephone | 6206045274 |
| Mailing Fax Number | 8447045822 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2020-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
13-127040-052 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112629 | Lacy Christine Smith | Speech-Language Pathologist | 900 Junction Dr, Allen, TX 75013-5290 | 2020-10-23 |
| 1790270874 | Lacy Brasier Smith | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2018-06-29 |
| 1265888531 | Lacy Smith | Technician | 300 Ranger Blvd, Roland, OK 74954-4040 | 2016-05-05 |
| 1164751244 | Lacy Smith | Dietitian, Registered | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2009-12-18 |
| 1780821959 | Lacy Michelle Smith | Family Medicine | 405 Belcher St, Centreville, AL 35042-2946 | 2009-01-09 |
| Street Address |
504 N KANSAS AVE STE B1 |
| City | LIBERAL |
| State | KS |
| Zip Code | 67901-3346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104264803 | Juanita Elise Monroe | Registered Nurse | 515 4th St, Liberal, KS 67901 | 2013-06-05 |
| 1588917454 | Liberal Diagnostics, LLC | Clinic/Center | 23 Professional Drive, Liberal, KS 67901 | 2012-10-17 |
| 1598091001 | Sunflower Pediatrics | Pediatrics | 2132 N. Kansas Ave, Ste B, Liberal, KS 67901 | 2009-10-19 |
| 1477780955 | Southwest Medical Center | Clinic/Center | 1411 W. 15th Street, Ste. 102, Liberal, KS 67901 | 2009-06-11 |
| 1336375104 | Nchang Mantoh Azefor | Surgery | 305 W 15th St Ste 204, Liberal, KS 67901 | 2009-06-06 |
| 1114152121 | Firas I. Kawtharani | Orthopaedic Surgery | 305 W 15th St Ste 101, Liberal, KS 67901 | 2009-05-19 |
| 1871613067 | William (bill) Joseph Michael Settle | Anesthesiology | 2132 N Kansas Avenue, Suite C, Liberal, KS 67901 | 2007-03-30 |
| 1851430532 | Bruce W Jackson | Dentist | 111 Lilac Dr, Liberal, KS 67901 | 2007-02-06 |
| 1376637058 | Dr. Peter Lee D.o. | Clinic/Center | 23 East 11th, Liberal, KS 67901 | 2006-10-03 |
| 1568574002 | Terry Dee Romans | Dentist | 2110 N Grant, Liberal, KS 67901 | 2006-08-31 |
| Find all providers in zip 67901 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053882563 | Regional Services | Nurse Practitioner | 205 N Payne St, Liberal, MO 64762-9263 | 2018-12-10 |
| 1104325216 | Victoria Rachel Underwood | Nurse Practitioner | 305 W 15th St Ste 104, Liberal, KS 67901-2455 | 2018-02-03 |
| 1427117522 | Heidi Riley | Nurse Practitioner | 1411 W 15th St Ste 102, Liberal, KS 67901-2285 | 2006-12-06 |
| 1215571344 | Elizabeth Mercado | Nurse Practitioner | 502 N Kansas Ave, Liberal, KS 67901-3304 | 2019-10-31 |
| 1891245205 | Olga Margarita Beyna | Nurse Practitioner | 2132 N Kansas Ave Ste B, Liberal, KS 67901-2099 | 2016-10-10 |
| 1710370697 | Jennifer Lynn Antrim | Nurse Practitioner | 305 W 15th St, Suite 103, Liberal, KS 67901-2455 | 2015-03-16 |
| 1841621679 | Southwest Family Medicine LLC | Nurse Practitioner | 102 E 11th St, Liberal, KS 67901-2784 | 2013-12-04 |
| 1841632445 | Juvy Rea Jabel | Nurse Practitioner | 102 E 11th St, Liberal, KS 67901-2784 | 2013-07-23 |
| 1184907784 | Linsey Kay Carter | Nurse Practitioner | 555 W 15th St, Suite A, Liberal, KS 67901-2467 | 2011-09-21 |
| 1235468679 | Holly Brewer | Nurse Practitioner | 315 W 15th St, Suite 103, Liberal, KS 67901 | 2009-12-14 |
| Find all providers in LIBERAL | ||||
Please comment or provide details below to improve the information on MS. LACY SMITH.
| 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.