Julie Lacek, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

418484 Issued in NY

Practice address

81 White Birch LN
Indian Lake, NY 12842-1409

Phone

(518) 648-6141

NPI assigned

Sep 3, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Hamilton County

  • Early Intervention Provider Agency
  • Indian Lake, NY
  • NPI 1821128281
  NPD (past)

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1356599344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 WHITE BIRCH LANE",
            "city": "INDIAN LAKE",
            "state": "NY",
            "postal_code": "12842",
            "telephone_number": "518-648-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 WHITE BIRCH LN",
            "city": "INDIAN LAKE",
            "state": "NY",
            "postal_code": "128421409",
            "telephone_number": "518-648-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEK",
        "first_name": "JULIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "418484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Hunt, RN
• Indian Lake CSD
• Indian Lake Volunteer Ambulance Corp Inc
• Noni Irish, LCSW
• Christopher H Jackson, PA-C
• Cynthia Jean Lane, N.P.
• Karaina Lantzky
• Karen Ann Levison, MSHSA, PTA
• Maria Luz Dayrit McKay, PT
• Gail A Monthony, R.N.

• Home Health Registered Nurse in Indian Lake, NY
• Providers in Indian Lake, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.