Individual provider Active NPI

Lacie Harris, APRN-CNP

  • Family Nurse Practitioner
  • Longview, TX
National Provider Identifier
1366918328
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1041228 Issued in TX
Practice address
3204 4TH St
Longview, TX 75605-5143
Phone
(903) 501-5056
Fax
(903) 499-5056
NPI assigned
Oct 17, 2018
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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 1041228 TX Primary

Addresses

Primary practice location

3204 4TH St
Longview, TX 75605-5143

Mailing address

3204 4TH St
Longview, TX 75605-5143
Phone (903) 501-5056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20211210000721 TX Practitioner - Nurse Practitioner 0345630158 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harmonycares Complete Health Services, PLLC CurrentSince Dec 21, 2025 Accepting new patients
Pallicare, Inc CurrentSince Apr 1, 2024 Accepting new patients
Wellmed Medical Group, PA CurrentSince Jul 28, 2025 Accepting new patients
The Cameron Clinic PLLC CurrentSince Oct 11, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince Dec 21, 2025 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Jul 28, 2025 Accepting new patients
Vpa of Texas PLLC CurrentSince Dec 21, 2025 Accepting new patients

Locations

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

3204 4th St
Longview, TX 75605
Phone (903) 236-4111

505 N 6th St
Longview, TX 75601
Phone (903) 392-2307

448 Castroville Rd
San Antonio, TX 78207
Phone (210) 434-1400

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25502/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1366918328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055143",
            "telephone_number": "903-501-5056",
            "fax_number": "903-499-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055143",
            "telephone_number": "903-501-5056",
            "fax_number": "903-499-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LACIE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1041228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.