Kristin Anne Lacy, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

267470 Issued in MA

Practice address

55 Fruit St
Suite 3700-B
Boston, MA 02114-2621

Phone

(617) 726-3770

NPI assigned

Oct 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: klacy193648@direct.bilh.masshiway.net
• Direct secure messaging: kristin.lacy.1@7605.direct.athenahealth.com

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1083802516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 NASHUA AVE",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019301211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "address_2": "SUITE 3700-B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-726-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACY",
        "first_name": "KRISTIN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "267470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1083802516",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Laclair
• Terri L Lacoursiere Zucchero, PHD, RN, FNP-BC
• Ronald V Lacro, MD
• Elaine Lacroix, OTR/L
• Jessica Lacroix
• Molly Lauren Lacy, M.D.
• Roseanne Lacy
• Kingsley Ladega
• Vinicius Ladeira Craveiro, M.D.
• Mary Erin Ladesic, DNP, APRN, FNP-BC

• Adult Health Nurse Practitioner in Boston, MA
• Providers in Boston, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.