Lacey C Langley, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

60945996 Issued in WA

Practice address

3510 Steelhammer Dr
Centralia, WA 98531-4551

Phone

(360) 623-8020

NPI assigned

Jun 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lacey C Brazille Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Cascade Community Healthcare

  • Community/Behavioral Health Agency
  • Centralia, WA
  • NPI 1619068624
  NPD (past)
• Cascade Evaluation and Treatment Center

  • Mental Illness Community Based Residential Treatment Facility
  • Centralia, WA
  • NPI 1760979298
  NPD (past)

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1255990479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 STEELHAMMER DR",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314551",
            "telephone_number": "360-632-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 STEELHAMMER DR",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314551",
            "telephone_number": "360-623-8020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 14th Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322315",
            "country_code": "US",
            "telephone_number": "360-353-9840",
            "fax_number": "360-353-9880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGLEY",
        "first_name": "LACEY",
        "middle_name": "C",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "60945996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACEY",
            "last_name": "BRAZILLE",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kari Lambert
• Bronwyn Erin Lamell, MA
• Lindsey Lamma, C.G. 60560890
• Lander House
• Dayna Lynn Lange
• Joel Lantau, R-AAC, BS
• Hannah Faith Lapos, PHARMD
• Samantha Laratonda
• Larry R Nelson M.D. Inc P.S.
• Cynthia Ann Larson, PT

• Registered Nurse in Centralia, WA
• Providers in Centralia, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.

Verify at the official NPI Registry.