Lacey C Quarles, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-076828 Issued in AL

Practice address

100 Rice Mine Road Loop
Suite 206
Tuscaloosa, AL 35406-2414

Phone

(205) 339-0171

Fax

(205) 333-8681

NPI assigned

Dec 4, 2006

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 AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Alabama School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Alabama Family Practice and Sports Medicine PCGroup PAC ID 1254236755, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• West Alabama Family Practice & Sports Medicine PC

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1376615476
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The DCH Health Care Authority

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1306613211

  Hospital

  Care Compare affiliation
• The DCH Health Care Authority

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1780927681

  Hospital

  Care Compare affiliation
• The DCH Healthcare Authority

  • General Acute Care Hospital
  • Tuscaloosa, AL
  • NPI 1841394418
  Care Compare affiliation

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1336207372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RICE MINE ROAD LOOP",
            "address_2": "SUITE 206",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062414",
            "telephone_number": "205-339-0171",
            "fax_number": "205-333-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RICE MINE ROAD LOOP",
            "address_2": "SUITE 206",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062414",
            "telephone_number": "205-339-0171",
            "fax_number": "205-333-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUARLES",
        "first_name": "LACEY",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-076828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891008370",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Nicole Pullins, LICSW
• Pure Integrative Wellness and Hydration LLC
• Purple Oasis Telerehab & Wellness LLC
• John Allen Pybass, M.D.
• Sang K Pyun, MD
• Quest Diagnostics Clinical Laboratories Inc
• Amy Quitt, SLP
• Sheena Quizon, RD
• R.H.O.C., Inc.
• Rachel Allgood LPC, LLC

• Family Nurse Practitioner in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.

Verify at the official NPI Registry.