Individual provider Active NPI

Lacey Jasmine Eileen King, APRN

  • Family Nurse Practitioner
  • Alice, TX
National Provider Identifier
1013781335
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1141241 Issued in TX
Practice address
1008 Medical Center Blvd
Alice, TX 78332-4212
Phone
(361) 668-4278
NPI assigned
Nov 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1141241 TX
Family Nurse Practitioner 363LF0000X 1141241 TX Primary

Addresses

Primary practice location

1008 Medical Center Blvd
Alice, TX 78332-4212

Mailing address

602 E Miller Ave
Kingsville, TX 78363-6336
Phone (603) 369-0117

Other practice location 1

1311 E General Cavazos Blvd Ste 203
Kingsville, TX 78363-7123
Phone (361) 592-2223

Other practice location 2

1311 E General Cavazos Blvd Ste 305
Kingsville, TX 78363-7123
Phone (361) 592-2223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208002803 TX Practitioner - Nurse Practitioner 4284083783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

1311 E General Cavazos Blvd
Kingsville, TX 78363-7123

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

PO Box
Suite 846098
Dallas, TX 75284-6098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Cardiovascular Disease CurrentSince Feb 4, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Feb 4, 2024 Accepting new patients

Locations

1311 E General Cavazos Blvd
Ste 203
Kingsville, TX 78363
Phone (361) 592-2223

1311 Gen Cvazos Blvd
Ste 305
Kingsville, TX 78363
Phone (361) 592-2223

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: lking297321@christushealth.direct-ci.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1013781335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E MILLER AVE",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783636336",
            "telephone_number": "603-369-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 MEDICAL CENTER BLVD",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324212",
            "telephone_number": "361-668-4278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1311 E General Cavazos Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Kingsville",
            "state": "TX",
            "postal_code": "783637123",
            "country_code": "US",
            "telephone_number": "361-592-2223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1311 E General Cavazos Blvd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Kingsville",
            "state": "TX",
            "postal_code": "783637123",
            "country_code": "US",
            "telephone_number": "361-592-2223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "LACEY",
        "middle_name": "JASMINE EILEEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1141241",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1141241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alice, TX

Sources for this page

Verify at the official NPI Registry.