Active NPI
Lakeva Casey
- Pediatric Nurse Practitioner
- Florence, AL
National Provider Identifier
1255705000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1-130759
- Practice address
- 2530 Florence Blvd Ste D
Florence, AL 35630-2807 - Phone
- (568) 021-5002
- Fax
- (256) 802-1501
- NPI assigned
- Nov 17, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1130759 | AL | |
| Pediatric Nurse Practitioner | 363LP0200X | 1-130759 | AL | Primary |
Addresses
Primary practice location
2530 Florence Blvd Ste D
Florence, AL 35630-2807
Mailing address
PO Box 2874
Florence, AL 35630-0022
Phone (256) 802-1500
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1130759 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids First Pediatric Urgent Care, LLC | Current | Accepting new patients | |
| Tennessee Valley Pediatric Associatesinc. | Past | Accepting new patients |
Locations
2530 Florence Blvd
Ste D
Florence, AL 35630
Phone (256) 760-4390
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Florence, AL
- NPI 1780214189
-
- Pediatrics Physician
- Tuscumbia, AL
- NPI 1043323439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587513600000",
"number": "1255705000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2874",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356300022",
"telephone_number": "256-802-1500",
"fax_number": "256-802-1501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 FLORENCE BLVD STE D",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356302807",
"telephone_number": "568-021-5002",
"fax_number": "256-802-1501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEY",
"first_name": "LAKEVA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-17",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1130759",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AL",
"license": "1-130759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.