Individual provider Active NPI

Deirdre Michelle Lacy-Hunter, RT

  • Radiologic Technologist
  • Topeka, KS
National Provider Identifier
1053659524
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
256240 Issued in MN
Practice address
2200 SW Gage Blvd
Topeka, KS 66622-0001
Phone
(785) 350-3111
NPI assigned
Jan 17, 2013
Last updated
Jan 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X 256240 MN Primary
Radiologic Technologist 247100000X R8866066 OH
Radiologic Technologist 247100000X 97527 TX
Radiologic Technologist 247100000X RHM00096687 CA
Radiologic Technologist 247100000X RAD02210 RI
Radiologic Technologist 247100000X MRT5368 MS

Addresses

Primary practice location

2200 SW Gage Blvd
Topeka, KS 66622-0001

Mailing address

1727 Joffre Ave
Toledo, OH 43607-1613
Phone (419) 536-8041

Other names 1

  • Ms. Deirdre Michelle Lacy Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RHM00096687CAMDRadiologic Technologist
256240MNMDRadiologic Technologist
MRT5368MSMDRadiologic Technologist
R8866066OHMDRadiologic Technologist
RAD02210RIMDRadiologic Technologist
97527TXMDRadiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1053659524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 JOFFRE AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436071613",
            "telephone_number": "419-536-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SW GAGE BLVD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666220001",
            "telephone_number": "785-350-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACY-HUNTER",
        "first_name": "DEIRDRE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "RT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "MN",
            "license": "256240",
            "primary": true
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "OH",
            "license": "R8866066",
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "TX",
            "license": "97527",
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "CA",
            "license": "RHM00096687",
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "RI",
            "license": "RAD02210",
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "MS",
            "license": "MRT5368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEIRDRE",
            "last_name": "LACY",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "credential": "RT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.

Verify at the official NPI Registry.