Individual provider Active NPI

Lacie Dawn Marable, CNM, NP-C

  • Family Nurse Practitioner
  • Brentwood, TN
National Provider Identifier
1053661587
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20758 Issued in TN
Practice address
5511 Virginia Way
Ste 300
Brentwood, TN 37027-7611
Phone
(615) 994-1000
Fax
(615) 994-0100
NPI assigned
Sep 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20758 TN Primary
Family Nurse Practitioner 363LF0000X 0024191410 VA

Addresses

Primary practice location

5511 Virginia Way
Ste 300
Brentwood, TN 37027-7611

Mailing address

5511 Virginia Way Ste 300
Brentwood, TN 37027-7611
Phone (615) 994-1000

Other practice location 1

249 Central Park Avenue
Suite 300-161
Virginia Beach, VA 23462-3099
Phone (615) 994-1000

Other practice location 2

3101 Lee Highway
Bristol, VA 24201-5944
Phone (276) 967-6000

Other names 1

  • Lacie Dawn Schultz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161005002074 TN Practitioner - Nurse Practitioner 7113171562 Reassigns benefits to 3 organizations
I20251211001840 VA Practitioner - Nurse Practitioner 7113171562

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
National Addiction Specialists LLCGroup PAC ID 1254709959, 16 clinicians

Practice addresses (Care Compare)

5511 Virginia Way
Suite 300
Brentwood, TN 37027-7611
Phone (615) 994-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024191410VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Regional One Physicians Inc Nurse Practitioner CurrentSince Sep 6, 2023 Accepting new patients
Ut Regional One Physicians Inc CurrentSince Sep 6, 2023 Accepting new patients
Cherokee Health Systems Current Accepting new patients
National Addiction Specialists LLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

1285 Highway 11W
Bean Station, TN 37708
Phone (865) 993-4300

5511 Virginia Way
Ste 300
Brentwood, TN 37027
Phone (615) 692-1560

2574 Frayser Blvd
Memphis, TN 38127
Phone (901) 271-9500

880 Madison Ave
Memphis, TN 38103
Phone (901) 515-3500

2500 Peres Ave
Memphis, TN 38108
Phone (901) 458-9531

6215 Humphreys Blvd
Ste 401
Memphis, TN 38120
Phone (901) 682-9222

360 E Eh Crump Blvd
Memphis, TN 38126
Phone (901) 261-2000

6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085

6555 Quince Rd
Memphis, TN 38119
Phone (901) 515-3150

6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031

3101 Lee Hwy
Bristol, VA 24202
Phone (276) 967-6000

3046 Carlbrook Rd
South Boston, VA 24592
Phone (434) 476-1427

249 Central Park Ave
Ste 300161
Virginia Beach, VA 23462
Phone (615) 994-1000

249 Central Park Ave
#300161
Virginia Beach, VA 23462

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9888/brand/2/csg/1/fhir/r4

Organizations & group practices 5

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": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1053661587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 VIRGINIA WAY STE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277611",
            "telephone_number": "615-994-1000",
            "fax_number": "615-994-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 VIRGINIA WAY",
            "address_2": "STE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277611",
            "telephone_number": "615-994-1000",
            "fax_number": "615-994-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "249 Central Park Avenue",
            "address_2": "Suite 300-161",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234623099",
            "country_code": "US",
            "telephone_number": "615-994-1000",
            "fax_number": "615-994-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 Lee Highway",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "VA",
            "postal_code": "242015944",
            "country_code": "US",
            "telephone_number": "276-967-6000",
            "fax_number": "615-994-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARABLE",
        "first_name": "LACIE",
        "middle_name": "DAWN",
        "credential": "CNM, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20758",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024191410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACIE",
            "last_name": "SCHULTZ",
            "middle_name": "DAWN",
            "credential": "CNM, NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.