Stacy Lackey, M.S.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

329 Issued in OK

Practice address

5635 N Martin Luther King Jr Blvd
Tulsa, OK 74126-6409

Phone

(918) 594-4731

Fax

(918) 595-4269

NPI assigned

Feb 15, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Tulsa City-County Health Department

  • Medical Specialty Clinic/Center
  • Tulsa, OK
  • NPI 1982790390
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1265575609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 N MARTIN LUTHER KING JR BLVD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741266409",
            "telephone_number": "918-594-4731",
            "fax_number": "918-595-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 N MARTIN LUTHER KING JR BLVD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741266409",
            "telephone_number": "918-594-4731",
            "fax_number": "918-595-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKEY",
        "first_name": "STACY",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OK",
            "license": "329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200065580A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leonard Udel Lacefield III
• Patricia Gregg Lacey, ARNP
• Kelsey Lackey, PHARMD
• Madison Dale Lackey
• Makalie Grace Lackey
• Megan Elizabeth Lackman, DO
• Ashlyn Lacourse, SLP
• Eva Kathleen Lacroix, LPC CANDIDATE
• Timra Lacrone
• Beverly Lacy

• Audiologist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Audiologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.