Lacie Gail Gudger, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN24561 Issued in TN

Practice address

3360 Highway 411 N
Englewood, TN 37329-5276

Phone

(423) 887-5131

Fax

(423) 887-5917

NPI assigned

Jul 31, 2018

Last updated

Sep 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lacie Gail Thompson Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sweetwater Hospital AssociationGroup PAC ID 6608773775, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sweetwater Hospital Association Hospital, Sweetwater, TN, CCN 440084

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Sweetwater Hospital Association

  dba Sweetwater Physician Group

  • Obstetrics & Gynecology Physician
  • Sweetwater, TN
  • NPI 1558995399

  Family

  Medicare reassignment Care Compare group NPD
• Sweetwater Hospital Association

  dba Sweetwater Hospital Association Rural Health Clinic

  • Rural Health Clinic/Center
  • Sweetwater, TN
  • NPI 1205659711
  NPD

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

• Sweetwater Hospital Association

  • General Acute Care Hospital
  • Sweetwater, TN
  • NPI 1366441370
  Care Compare affiliation

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1114405354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 W ANDREW JOHNSON HWY",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778605",
            "telephone_number": "800-355-3565",
            "fax_number": "423-714-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 HIGHWAY 411 N",
            "city": "ENGLEWOOD",
            "state": "TN",
            "postal_code": "373295276",
            "telephone_number": "423-887-5131",
            "fax_number": "423-887-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDGER",
        "first_name": "LACIE",
        "middle_name": "GAIL",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN24561",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN181114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lacie.gudger.p1@direct.cherokeehealth.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Message Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Message Address",
            "address_1": "3360 Highway 411 N",
            "city": "Englewood",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373295276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LACIE",
            "last_name": "THOMPSON",
            "middle_name": "GAIL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Franklin, LMSW
• Kassidi Blake Freeman
• Susan R Goble, FNP
• God's Grace Housing LLC
• Rebecca J Green, LCSW
• Gwen A Guegold, F.N.P.
• Kayla Hall
• Tracey Irene Haun, C.N.A.
• Amy Lynn Hooper
• Rebecca Hulslander, LPN

• Family Nurse Practitioner in Englewood, TN
• Providers in Englewood, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.

Verify at the official NPI Registry.