Lacie Killian, CNA

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

180788 Issued in KS

Practice address

1700 Avenue G
Dodge City, KS 67801-4544

Phone

(620) 255-8006

Fax

(620) 371-7304

NPI assigned

Nov 21, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lacie Rector Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1205379468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 AVENUE G",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678014544",
            "telephone_number": "620-255-8006",
            "fax_number": "620-371-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 AVENUE G",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678014544",
            "telephone_number": "620-255-8006",
            "fax_number": "620-371-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLIAN",
        "first_name": "LACIE",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "KS",
            "license": "180788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACIE",
            "last_name": "RECTOR",
            "credential": "CNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Karen M. Ackerman, D.P.M., P.a.
• Katie Asbjornson, D.D.S., P.a. (Lehmkuhler Dental)
• Shelly R Keesling, PA-C
• Muhammad Akmal Khan, MD
• Ussama Khan, DDS
• Kirk L. Henrichs (Stout-Henrichs Chiropractic Clinic)
• Patrick Klecker
• Jewel Knight, LPN, LMSW
• Jonathan Allen Knight, APRN, FNP-C
• Michelle Renae Knight, FNP

• Developmental Therapist in Dodge City, KS
• Providers in Dodge City, KS by specialty
• Developmental Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.