Lacey Elaine Capps, APRN, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Brentwood, TN
NPI 1164583894 · NPPES record last updated Nov 10, 2010
Key facts
- NPI
- 1164583894
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APN0000011053 (TN)
- Practice address
- 10644 Concord Rd
Brentwood, TN 37027-8811 - Phone
- (615) 941-8768
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051022000172 | TN | Practitioner - Nurse Practitioner | 5597781179 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000011053 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Convenient & Caring Clinics, PLLC | Current |
Accepting new patients | |
| Dhar Family Medicine, PLLC | Current |
Accepting new patients | |
| America'S Family Doctors, PLLC | Past | Accepting new patients |
Locations
2705 Old Fort Pkwy
Ste G
Murfreesboro, TN 37128
Phone (615) 296-0777
1702 Rock Springs Rd
Smyrna, TN 37167
Phone (615) 625-7777
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IJBEAA
- https://fhir4.healow.com/fhir/r4/EIFAAA
- https://fhir4.healow.com/fhir/r4/IJBEAA/Endpoint/IJBEAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN0000011053 | TN | Yes |
Addresses
Primary practice location
10644 Concord Rd
Brentwood, TN 37027-8811
Mailing address
2445 Memorial Blvd
Suite C
Murfreesboro, TN 37129-5155
Phone (615) 217-6900
Other providers in Brentwood, TN
- Vanessa Campos
- Candid Tennessee, PLLC
- Mary Gabrielle Cannon
- Anna Cantrell
- Suzanne Capocaccia
- Francis J Caprio
- Rebecca E Carden
- Kyle Cardinal
- Careful Comfort, LLC
- Careharmony Inc
All providers in Brentwood, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.