Individual provider Active NPI

Lacie Rodman

  • Medical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1336452689
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA057688 Issued in PA
Practice address
5115 Centre Ave
Suite 5150
Pittsburgh, PA 15232-1301
Phone
(412) 651-4543
NPI assigned
Jul 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA057688 PA Primary

Addresses

Primary practice location

5115 Centre Ave
Suite 5150
Pittsburgh, PA 15232-1301

Mailing address

5115 Centre Ave
Suite 5150
Pittsburgh, PA 15232-1301

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lacie.a.rodman@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20101028000659 PA Practitioner - Physician Assistant 0648464115 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
612WVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Oct 22, 2017 Accepting new patients
Hematology Oncology Association CurrentSince Aug 31, 2015 Accepting new patients
University of Pittsburgh Physicians CurrentSince Oct 22, 2017 Accepting new patients
Upmc Community Medcine Inc CurrentSince Feb 24, 2019 Accepting new patients
Hematology Oncology Association CurrentSince Aug 31, 2015 Accepting new patients
Oncology Hematology Association CurrentSince Aug 31, 2015 Accepting new patients
Upmc Community Medicine Inc CurrentSince Feb 24, 2019 Accepting new patients
Oncology Hematology Association Inc CurrentSince Aug 31, 2015 Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

200 Village Dr
Greensburg, PA 15601
Phone (412) 469-5500

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

5115 Centre Ave
Pittsburgh, PA 15232
Phone (412) 235-1020

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

5115 Centre Ave
Fl 3
Pittsburgh, PA 15232
Phone (412) 235-1020

300 Halket St
Ste 5150
Pittsburgh, PA 15213
Phone (412) 641-1600

5115 Centre Ave
Ste 5150
Pittsburgh, PA 15232
Phone (412) 651-4543

Interoperability endpoints

  • Direct secure messaging: lacie.a.rodman@upmcdirect.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1336452689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 CENTRE AVE",
            "address_2": "SUITE 5150",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 CENTRE AVE",
            "address_2": "SUITE 5150",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321301",
            "telephone_number": "412-651-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODMAN",
        "first_name": "LACIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lacie.a.rodman@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.