Active NPI
Thomas Britt Lackey, ENP
- Family Nurse Practitioner
- Lumberton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 641335
- Practice address
- 655 S Main St
Lumberton, TX 77657-7378 - Phone
- (409) 227-4084
- Fax
- (409) 227-4140
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | TX | ||
| Family Nurse Practitioner | 363LF0000X | 641335 | TX | Primary |
Addresses
Primary practice location
655 S Main St
Lumberton, TX 77657-7378
Mailing address
PO Box 7714
Beaumont, TX 77726-7714
Phone (409) 893-1177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040504000649 | TX | Practitioner - Nurse Practitioner | 4688662117 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
220 Strickland Dr
Orange, TX 77630-4750
Phone (409) 330-4707
655 S Main St
Lumberton, TX 77657-7378
Phone (409) 227-4084
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 641335 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Express of the Beaumont Area PA | Urgent Care | Current | Accepting new patients |
| Hardin County Urgent Care PLLC | Urgent Care | Current | Accepting new patients |
| Orange County Urgent Care PLLC | Urgent Care | Current | Accepting new patients |
| Jefferson Emergency Medicine Associates PA | Past | Accepting new patients | |
| Brazos Emergency Physicians, PA | Past | Accepting new patients | |
| Pioneer Emergency Medicine Associates PA | Past | Accepting new patients | |
| Southeast Emergency Physician Associates, P.a. | Past | Accepting new patients |
Locations
3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888
6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890
655 S Main St
Lumberton, TX 77657
Phone (409) 227-4084
1908 Highway 365
Nederland, TX 77627
Phone (409) 729-1900
220 Strickland Dr
Orange, TX 77630
Phone (409) 330-4707
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Lumberton, TX
- NPI 1639799984
TX, Urgent Care
-
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1841525235
TX, Urgent Care
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1205948635
-
- Emergency Medicine Physician
- Beaumont, TX
- NPI 1497966949
-
- Emergency Medicine Physician
- Port Arthur, TX
- NPI 1780886150
-
- Emergency Medicine Physician
- Beaumont, TX
- NPI 1235155102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1205904174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7714",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777267714",
"telephone_number": "409-893-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 S MAIN ST",
"city": "LUMBERTON",
"state": "TX",
"postal_code": "776577378",
"telephone_number": "409-227-4084",
"fax_number": "409-227-4140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACKEY",
"first_name": "THOMAS",
"middle_name": "BRITT",
"name_prefix": "Mr.",
"credential": "ENP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "641335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.