Lacey Nicole Jones, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

107817 Issued in AK

Practice address

17360 Beaujolais Cir
Eagle River, AK 99577-7513

Phone

(515) 639-5272

NPI assigned

Jun 10, 2016

Last updated

Jun 10, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1295184109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17360 BEAUJOLAIS CIR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777513",
            "telephone_number": "515-639-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17360 BEAUJOLAIS CIR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777513",
            "telephone_number": "515-639-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "LACEY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AK",
            "license": "107817",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IA",
            "license": "P55775",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vera Johnson, OT
• Jessica Johnston
• Robert Donald Johnston, PA-C
• Heather McNeal Jones, M.D.
• Kaytlyn Jones, KAYTLYN
• Tammy Lynn Jones
• Laurie D Juraszek, PSY.D.
• Kayla Jurchak, MSW
• Caitlyn Elsbeth Justice
• Justine Care Alh LLC

• Licensed Practical Nurse in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Licensed Practical Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.