Active NPI
Stephanie Susan Lacey, D.C., DIPL. ACUP.
- Chiropractor
- Naperville, IL
National Provider Identifier
1366535098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-007426
- Practice address
- 148 North Washington Street
Naperville, IL 60540 - Phone
- (630) 961-2848
- Fax
- (630) 961-2918
- NPI assigned
- Oct 2, 2006
- Last updated
- Apr 25, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-007426 | IL | Primary |
| Acupuncturist | 171100000X | 198-00375 | IL |
Addresses
Primary practice location
148 North Washington Street
Naperville, IL 60540
Mailing address
148 North Washington Street
Naperville, IL 60540
Phone (630) 961-2848
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350044698 | Other | IL | RAILROAD MEDICARE |
| 318-6170 | Other | IL | CIGNA |
| 5538693 | Other | IL | AENTA |
| 022-05753 | Other | IL | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1795 S Washington St
Suite 106
Naperville, IL 60565-2463
Phone (630) 961-2848
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-007426 | IL | MD | Chiropractor |
| 198-00375 | IL | MD | Acupuncturist |
Organizations & group practices 1
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.
-
- Chiropractor
- Naperville, IL
- NPI 1326221961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1366535098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 NORTH WASHINGTON STREET",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "60540",
"telephone_number": "630-961-2848",
"fax_number": "630-961-2918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 NORTH WASHINGTON STREET",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "60540",
"telephone_number": "630-961-2848",
"fax_number": "630-961-2918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACEY",
"first_name": "STEPHANIE",
"middle_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "D.C., DIPL. ACUP.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-007426",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198-00375",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350044698",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "318-6170",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AENTA",
"identifier": "5538693",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "022-05753",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.