Individual provider Active NPI

Lacie Marie Parham, APRN

  • Family Nurse Practitioner
  • Mayfield, KY
National Provider Identifier
1255901013
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016277 Issued in KY
Practice address
110 Kings Dr
Mayfield, KY 42066-3602
Phone
(270) 804-7710
Fax
(270) 804-7722
NPI assigned
Jun 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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 3016277 KY Primary

Addresses

Primary practice location

110 Kings Dr
Mayfield, KY 42066-3602

Mailing address

PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534

Other practice location 1

3240 Irvin Cobb Dr
Paducah, KY 42003-0337
Phone (270) 443-9474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20210721002599 KY Practitioner - Nurse Practitioner 2264835776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ArcareGroup PAC ID 2567370620, 249 clinicians

Practice addresses (Care Compare)

125 S 20TH St
Paducah, KY 42001-7100
Phone (270) 415-0467

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3016277KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare Current Accepting new patients
Arcare CurrentSince Jul 5, 2021 Accepting new patients
Arcare CurrentSince Jul 5, 2021 Accepting new patients

Locations

110 Kings Dr
Mayfield, KY 42066
Phone (270) 804-7710

3240 Irvin Cobb Dr
Paducah, KY 42003
Phone (270) 443-4357

125 S 20th St
Paducah, KY 42001
Phone (270) 415-0467

Interoperability endpoints

  • Direct secure messaging: lacieparham@arcare.directbygreenway.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1255901013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KINGS DR",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420663602",
            "telephone_number": "270-804-7710",
            "fax_number": "270-804-7722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3240 Irvin Cobb Dr",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420030337",
            "country_code": "US",
            "telephone_number": "270-443-9474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARHAM",
        "first_name": "LACIE",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield, KY

Sources for this page

Verify at the official NPI Registry.