Active NPI
Lacie Dawn Marable, CNM, NP-C
- Family Nurse Practitioner
- Brentwood, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 20758
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0024191410 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Regional One Physicians Inc | Nurse Practitioner | Current | Accepting new patients |
| Ut Regional One Physicians Inc | Current | Accepting new patients | |
| Cherokee Health Systems | Current | Accepting new patients | |
| National Addiction Specialists LLC | Current | 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
- 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.
-
- Addiction Medicine (Internal Medicine) Physician
- Brentwood, TN
- NPI 1477186336
-
- Federally Qualified Health Center (FQHC)
- Memphis, TN
- NPI 1144236902
-
- Federally Qualified Health Center (FQHC)
- Talbott, TN
- NPI 1134128820
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1285042028
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.