Individual provider Active NPI

Lacy Lynn Neyland, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Marquez, TX
National Provider Identifier
1023586633
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139547 Issued in TX
Practice address
16029 Cole Branch Rd
Marquez, TX 77865-5241
Phone
(979) 224-8644
NPI assigned
Nov 13, 2018
Last updated
Mar 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP139547 TX Primary

Addresses

Primary practice location

16029 Cole Branch Rd
Marquez, TX 77865-5241

Mailing address

2700 E 29TH St
Ste 220
Bryan, TX 77802-2586
Phone (979) 774-4008

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
I20190416001797 TX Practitioner - Nurse Practitioner 7214278456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Heart CenterGroup PAC ID 6901880863, 10 clinicians

Practice addresses (Care Compare)

2700 E 29TH St
Suite 220
Bryan, TX 77802-2586
Phone (409) 774-4008

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Heart Center CurrentSince Mar 1, 2019 Accepting new patients

Locations

2700 E 29th St
Ste 220
Bryan, TX 77802
Phone (409) 774-4008

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIIEBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIIEBD/Endpoint/EIIEBD

Organizations & group practices 1

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1023586633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E 29TH ST",
            "address_2": "STE 220",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022586",
            "telephone_number": "979-774-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16029 COLE BRANCH RD",
            "city": "MARQUEZ",
            "state": "TX",
            "postal_code": "778655241",
            "telephone_number": "979-224-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEYLAND",
        "first_name": "LACY",
        "middle_name": "LYNN",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquez, TX

Sources for this page

Verify at the official NPI Registry.