Individual provider Active NPI

Lacosta S Smith, APRN

  • Family Nurse Practitioner
  • Albany, KY
National Provider Identifier
1053704403
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009261 Issued in KY
Practice address
606 Burkesville Rd
Albany, KY 42602-1612
Phone
(606) 387-4251
Fax
(606) 387-5785
NPI assigned
Mar 10, 2015
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 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 19863 TN
Family Nurse Practitioner 363LF0000X 3009261 KY Primary

Addresses

Primary practice location

606 Burkesville Rd
Albany, KY 42602-1612

Mailing address

PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 864-1472

Other identifiers 1

IdentifierTypeStateIssuer
7100511440MedicaidKY

Other names 1

  • Lacosta Carver Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20171204001599 KY Practitioner - Nurse Practitioner 1557675949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

360 Keen St
Burkesville, KY 42717-7915
Phone (270) 864-2889

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19863TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Family Medical Center Inc CurrentSince Oct 28, 2017 Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Oct 28, 2017 Accepting new patients
Cumberland Spine & Sport, LLC Past Accepting new patients
Cumberland Family Medical Center Inc PastSince Jun 1, 2024 Accepting new patients

Locations

127 Foothills Ave
Albany, KY 42602
Phone (606) 387-5953

606 Burkesville Rd
Albany, KY 42602
Phone (606) 387-0675

360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472

135 Wade Owens Rd N
Stanford, KY 40484
Phone (606) 669-6006

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1053704403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-864-1472",
            "fax_number": "270-864-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 BURKESVILLE RD",
            "city": "ALBANY",
            "state": "KY",
            "postal_code": "426021612",
            "telephone_number": "606-387-4251",
            "fax_number": "606-387-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LACOSTA",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-10",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19863",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100511440",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACOSTA",
            "last_name": "CARVER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, KY

Sources for this page

Verify at the official NPI Registry.