Darrick Taylor Lacey

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

3400 S 5TH W
Idaho Falls, ID 83402-7309

Phone

(208) 220-8327

NPI assigned

Jul 29, 2025

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2025.

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1316820293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 CEMETERY RD UNIT 10",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832027061",
            "telephone_number": "208-220-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 S 5TH W",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834027309",
            "telephone_number": "208-220-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "DARRICK",
        "middle_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Lynn Kunz, COTA/L
• Sally Kupchock, NP
• Kylin Kovac DPM PLLC
• Itzel Labra
• Yeimi Labra, FNP-C
• Elizabeth Rae Lagazo
• Amanda Lagerstrom, MOT OTR/L
• Abish Shu-Yi Lai, CCC-SLP
• Justin A Lamb, D.O.
• Bradley Kent Lambson, LMFT

• All providers in Idaho Falls, ID
• Peer Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.