Active NPI
Lacey N Roberts, APRN, FNP-C
- Family Nurse Practitioner
- Henderson, KY
National Provider Identifier
1033468632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3007612
- Practice address
- 110 Third St
Suite 250
Henderson, KY 42420 - Phone
- (270) 826-0135
- Fax
- (270) 827-8798
- NPI assigned
- Aug 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3007612 | KY | Primary |
Addresses
Primary practice location
110 Third St
Suite 250
Henderson, KY 42420
Mailing address
PO Box 1079
Henderson, KY 42419-1079
Phone (270) 827-0353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1033468632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1079",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424191079",
"telephone_number": "270-827-0353",
"fax_number": "270-827-4966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 THIRD ST",
"address_2": "SUITE 250",
"city": "HENDERSON",
"state": "KY",
"postal_code": "42420",
"telephone_number": "270-826-0135",
"fax_number": "270-827-8798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "LACEY",
"middle_name": "N",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-29",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3007612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.