Active NPI
Rebecca W. Lacik, CNM
- Advanced Practice Midwife
- Hickory, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 146172
- Practice address
- 810 Fairgrove Church Rd
Hickory, NC 28602-9617 - Phone
- (828) 326-3000
- NPI assigned
- Oct 19, 2007
- Last updated
- Sep 6, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 146172 | NC | Primary |
| Advanced Practice Midwife | 367A00000X | 397 | NC |
Addresses
Primary practice location
810 Fairgrove Church Rd
Hickory, NC 28602-9617
Mailing address
810 Fairgrove Church Rd
Hickory, NC 28602-9617
Phone (828) 326-3000
Other practice location 1
105 Yadkin St
Suite 102
Albemarle, NC 28001-3449
Phone (704) 982-1590
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295924793 | Medicaid | NC | |
| 147VC | Other | NC | BCBS |
| 7002101 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3070 11TH Ave Dr SE
Hickory, NC 28602-8336
Phone (828) 466-7196
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 397 | NC | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg North Carolina, P.C. | Current | Accepting new patients | |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| For Women's Health,PLLC | Advanced Practice Midwife | Past | Accepting new patients |
Locations
1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300
3070 11th Avenue Dr SE
Hickory, NC 28602
Phone (828) 466-7196
810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CVMC Maternity Services
- Obstetrics Physician
- Hickory, NC
- NPI 1285929554
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1124300876
-
- Health Educator
- Hickory, NC
- NPI 1518524818
-
- Advanced Practice Midwife
- Albemarle, NC
- NPI 1609056449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1295924793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 FAIRGROVE CHURCH RD",
"city": "HICKORY",
"state": "NC",
"postal_code": "286029617",
"telephone_number": "828-326-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 FAIRGROVE CHURCH RD",
"city": "HICKORY",
"state": "NC",
"postal_code": "286029617",
"telephone_number": "828-326-3000"
}
],
"practiceLocations": [
{
"address_1": "105 Yadkin St",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "Albemarle",
"state": "NC",
"postal_code": "280013449",
"country_code": "US",
"telephone_number": "704-982-1590",
"fax_number": "704-512-4838",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LACIK",
"first_name": "REBECCA",
"middle_name": "W.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-19",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NC",
"license": "146172",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NC",
"license": "397",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295924793",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "147VC",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7002101",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
- La Healthcare & Associates, PLLC
- Valerie Lamos Labo, LPA
- Laboratory Corporation of America Holding
- Laboratory Corporation of America Holdings
- Laboratory Corporation of America Holdings
- Christopher Brian Lackey, PHARMD
- Kristin Carol Lackey, LMFTA
- Lisa M Lacy, LCSWA
- Behnam Laderian, M.D.
- Cathleen Lafave, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.