Active NPI
Angelica M. Lacefield, MSN, APRN, NP-C
- Family Medicine Physician
- Crown Point, IN
National Provider Identifier
1164277943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F02241106
- Practice address
- 12750 Saint Francis Dr
Crown Point, IN 46307-0264 - Phone
- (219) 738-2100
- NPI assigned
- Apr 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F02241106 | IN | Primary |
Addresses
Primary practice location
12750 Saint Francis Dr
Crown Point, IN 46307-0264
Mailing address
11063 N 525 E
Demotte, IN 46310-8936
Phone (765) 491-7182
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
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F02241106 | IN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1164277943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11063 N 525 E",
"city": "DEMOTTE",
"state": "IN",
"postal_code": "463108936",
"telephone_number": "765-491-7182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12750 SAINT FRANCIS DR",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463070264",
"telephone_number": "219-738-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACEFIELD",
"first_name": "ANGELICA",
"middle_name": "M.",
"credential": "MSN, APRN, NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-23",
"last_updated": "2024-04-23",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "F02241106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.