Active NPI
Amanda Rene Lacy, FNP
- Family Nurse Practitioner
- Seguin, TX
National Provider Identifier
1255996104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 756225
- Practice address
- 1219 Eastwood Dr
Seguin, TX 78155-5133 - Phone
- (830) 379-7777
- Fax
- (713) 730-3692
- NPI assigned
- May 7, 2019
- Last updated
- Mar 9, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 756225 | TX | Primary |
Addresses
Primary practice location
1219 Eastwood Dr
Seguin, TX 78155-5133
Mailing address
1908 N Laurent St Ste 250
Victoria, TX 77901-5417
Phone (361) 576-0694
Other practice location 1
1901 Medi Park Dr Ste 1068
Amarillo, TX 79106-2108
Phone (806) 576-1095
Other practice location 2
1210 Eastwood Dr
Seguin, TX 78155-5134
Phone (830) 379-9308
Other practice location 3
1501 S Coulter St
Amarillo, TX 79106-1770
Phone (806) 354-1000
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 |
|---|---|---|---|
| 756225 | TX | MD | Family Nurse Practitioner |
Interoperability endpoints
- alacy275670@ahs.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1255996104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 N LAURENT ST STE 250",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779015417",
"telephone_number": "361-576-0694",
"fax_number": "713-730-3692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 EASTWOOD DR",
"city": "SEGUIN",
"state": "TX",
"postal_code": "781555133",
"telephone_number": "830-379-7777",
"fax_number": "713-730-3692"
}
],
"practiceLocations": [
{
"address_1": "1901 Medi Park Dr Ste 1068",
"address_purpose": "LOCATION",
"city": "Amarillo",
"state": "TX",
"postal_code": "791062108",
"country_code": "US",
"telephone_number": "806-576-1095",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1210 Eastwood Dr",
"address_purpose": "LOCATION",
"city": "Seguin",
"state": "TX",
"postal_code": "781555134",
"country_code": "US",
"telephone_number": "830-379-9308",
"fax_number": "713-730-3692",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 S Coulter St",
"address_purpose": "LOCATION",
"city": "Amarillo",
"state": "TX",
"postal_code": "791061770",
"country_code": "US",
"telephone_number": "806-354-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LACY",
"first_name": "AMANDA",
"middle_name": "RENE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-07",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "756225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seguin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.