Individual provider Active NPI

Ann M. Lacey, MSN, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1346509833
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4345 Issued in AZ
Practice address
345 E. Virginia Avenue
Phoenix, AZ 85004-1202
Phone
(602) 258-5545
Fax
(602) 252-6115
NPI assigned
May 3, 2012
Last updated
Aug 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP4345 AZ Primary

Addresses

Primary practice location

345 E. Virginia Avenue
Phoenix, AZ 85004-1202

Mailing address

345 E. Virginia Avenue
Phoenix, AZ 85004-1202
Phone (602) 258-5545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20120821001067 AZ Practitioner - Nurse Practitioner 0941457261 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona LLC CurrentSince May 20, 2012 Accepting new patients
Summit Medical Group Arizona LLC CurrentSince May 1, 2023 Accepting new patients
Metier Pharmacy LLC CurrentSince Nov 20, 2023 Accepting new patients
Internal Medicine Physicians Associates, P.C. Family Past Accepting new patients

Locations

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

5620 W Thunderbird Rd
Ste F1
Glendale, AZ 85306
Phone (602) 938-6960

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

345 E Virginia Ave
Phoenix, AZ 85004
Phone (602) 254-3151

3511 E Indian School Rd
Phoenix, AZ 85018
Phone (602) 835-2675

5920 W McDowell Rd
Phoenix, AZ 85035
Phone (480) 353-2210

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

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.

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1346509833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E. VIRGINIA AVENUE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041202",
            "telephone_number": "602-258-5545",
            "fax_number": "602-252-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E. VIRGINIA AVENUE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041202",
            "telephone_number": "602-258-5545",
            "fax_number": "602-252-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "ANN",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.