Individual provider Active NPI

Gladys Lacey, LPN

  • Pulmonary Rehabilitation Registered Respiratory Therapist
  • Elkton, MD
National Provider Identifier
1306500541
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Rehabilitation Registered Respiratory TherapistTaxonomy code 2279P1005X
License
LP51447 Issued in MD
Practice address
58 Queen Eleanor Dr
Elkton, MD 21921-7019
Phone
(516) 263-0366
NPI assigned
Oct 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Rehabilitation Registered Respiratory Therapist 2279P1005X LP51447 MD Primary

Addresses

Primary practice location

58 Queen Eleanor Dr
Elkton, MD 21921-7019

Mailing address

58 Queen Eleanor Dr
Elkton, MD 21921-7019
Phone (516) 263-0366

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LP51447MDMDPulmonary Rehabilitation Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1306500541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 QUEEN ELEANOR DR",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219217019",
            "telephone_number": "516-263-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 QUEEN ELEANOR DR",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219217019",
            "telephone_number": "516-263-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "GLADYS",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
            "state": "MD",
            "license": "LP51447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.