Kent Lacey, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15215 Issued in NE

Practice address

3911 Avenue B
Suite 1100
Scottsbluff, NE 69361-4617

Phone

(308) 630-2100

Fax

(308) 630-1890

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Regional West Physicians Clinic

  • Rural Health Clinic/Center
  • Morrill, NE
  • NPI 1659528412

  Corporate Director

  CMS ownership

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.

• State of Nebraska Dept of Admin Services

  dba Central Nebraska Veterans Home

  • Skilled Nursing Facility
  • Kearney, NE
  • NPI 1790706034
  Medicare reassignment NPD
• State of Nebraska Dept of Admin Services

  dba Beatrice State Developmental Center

  • Intellectual Disabilities Intermediate Care Facility
  • Beatrice, NE
  • NPI 1114085826
  NPD
• State of Nebraska Dept of Admin Services

  dba Western Nebraska Veterans Home

  • Skilled Nursing Facility
  • Scottsbluff, NE
  • NPI 1881791085
  NPD
• Regional West Physicians Clinic

  • Rural Health Clinic/Center
  • Mitchell, NE
  • NPI 1992703425
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1043226517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 3RD AVE",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693612032",
            "telephone_number": "308-632-4259",
            "fax_number": "308-630-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 AVENUE B",
            "address_2": "SUITE 1100",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614617",
            "telephone_number": "308-630-2100",
            "fax_number": "308-630-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "15215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Marie Kreman, APRN
• Sara Jane Krichau, RPH
• Jacob J Krieg, OD
• Kelsey Marie Kriewald, PHARMD
• Brenda Marie Labounty
• Marvee Lake, PHARM.D.
• Christopher M. Lambert, M.D.
• Travis Lambert, D.D.S.
• Steven Landstrom
• Nicole Lanning, B.S., ED.S

• Family Medicine Physician in Scottsbluff, NE
• Providers in Scottsbluff, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.