Individual provider Active NPI

Lacy Young

  • Family Nurse Practitioner
  • Smyrna, TN
National Provider Identifier
1194506568
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
35093 Issued in TN
Practice address
900 SGT Asbury Hawn Way
Smyrna, TN 37167-3587
Phone
(615) 625-9390
NPI assigned
Oct 11, 2023
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 35093 TN Primary

Addresses

Primary practice location

900 SGT Asbury Hawn Way
Smyrna, TN 37167-3587

Mailing address

900 SGT Asbury Hawn Way
Smyrna, TN 37167-3587
Phone (615) 625-9390

Other names 1

  • Lacy Yates Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240109000681 TN Practitioner - Nurse Practitioner 3779934302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rutherford County Primary CareGroup PAC ID 6305819483, 28 clinicians

Practice addresses (Care Compare)

1453 Hope Way
Murfreesboro, TN 37129-3140
Phone (615) 893-9390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35093TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rutherford County Primary Care Family CurrentSince Jan 22, 2024 Accepting new patients
Rutherford County Primary Care CurrentSince Sep 15, 2024 Accepting new patients
Boro Medical Clinic PLLC PastSince Oct 1, 2023 Accepting new patients

Locations

1453 Hope Way
Murfreesboro, TN 37129
Phone (615) 893-9390

745 S Church St
Ste 601
Murfreesboro, TN 37130
Phone (615) 767-9954

900 Sgt Asbury Hawn Way
Smyrna, TN 37167
Phone (615) 625-9390

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1194506568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SGT ASBURY HAWN WAY",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371673587",
            "telephone_number": "615-625-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SGT ASBURY HAWN WAY",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371673587",
            "telephone_number": "615-625-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "LACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "35093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACY",
            "last_name": "YATES",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.