Active NPI
Lacey Courchaine, NMD
- Naturopath
- Gilbert, AZ
National Provider Identifier
1174164818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 19-1836
- Practice address
- 1725 S Coronado Rd Apt 2154
Gilbert, AZ 85295-0088 - Phone
- (480) 434-1238
- NPI assigned
- Oct 3, 2019
- 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 |
|---|---|---|---|---|
| Naturopath | 175F00000X | 19-1836 | AZ | Primary |
Addresses
Primary practice location
1725 S Coronado Rd Apt 2154
Gilbert, AZ 85295-0088
Mailing address
1725 S Coronado Rd Apt 2154
Gilbert, AZ 85295-0088
Phone (480) 434-1238
Other names 1
- Lacey Royer
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19-1836 | AZ | MD | Naturopath |
Interoperability endpoints
- https://api.platform.athenahealth.com/25642/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1174164818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 S CORONADO RD APT 2154",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852950088",
"telephone_number": "480-434-1238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 S CORONADO RD APT 2154",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852950088",
"telephone_number": "480-434-1238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURCHAINE",
"first_name": "LACEY",
"credential": "NMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-03",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AZ",
"license": "19-1836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LACEY",
"last_name": "ROYER",
"credential": "NMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Gilbert, AZ
- Costco Wholesale Corporation (Costco Optical #644)
- Costco Wholesale Corporation (Costco Pharmacy #481)
- Stefan Costinean, M.D.
- Jordan Blaine Coulston, M.D
- Courage on Purpose
- Alisha Marie Courtney, FNP-C
- Stephanie Morgan Courvisier, APRN, AGNP-C
- Meagan Coveney, MOT
- Jacob M. Cover, PT
- Marisa J Covert, MT-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.