Active NPI
Shayna Colleen Lacy
- Occupational Therapist
- Azle, TX
National Provider Identifier
1154801165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 118481
- Practice address
- 721 Dunaway LN
Azle, TX 76020 - Phone
- (817) 444-2536
- NPI assigned
- Aug 19, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 118481 | TX | Primary |
Addresses
Primary practice location
721 Dunaway LN
Azle, TX 76020
Mailing address
800 W Randol Mill Rd FL 6
Arlington, TX 76012-2504
Phone (682) 276-8700
Other practice location 1
800 W Randol Mill Rd Fl 6
Arlington, TX 76012-2504
Phone (682) 276-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535932800000",
"number": "1154801165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W RANDOL MILL RD FL 6",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760122504",
"telephone_number": "682-276-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 DUNAWAY LN",
"city": "AZLE",
"state": "TX",
"postal_code": "76020",
"telephone_number": "817-444-2536"
}
],
"practiceLocations": [
{
"address_1": "800 W Randol Mill Rd Fl 6",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TX",
"postal_code": "760122504",
"country_code": "US",
"telephone_number": "682-276-8700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LACY",
"first_name": "SHAYNA",
"middle_name": "COLLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-19",
"last_updated": "2018-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "118481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Azle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.