Individual provider Active NPI

Lacy Harrington, FNP-C

  • Family Nurse Practitioner
  • Neosho, MO
National Provider Identifier
1376268755
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022040161 Issued in MO
Practice address
117 E Hickory St
Neosho, MO 64850-1806
Phone
(417) 451-4545
Fax
(417) 389-2341
NPI assigned
Oct 7, 2022
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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 2022040161 MO Primary

Addresses

Primary practice location

117 E Hickory St
Neosho, MO 64850-1806

Mailing address

117 E Hickory St
Neosho, MO 64850-1806
Phone (417) 451-4545

Other practice location 1

13207 Marina Del Rey
Neosho, MO 64850-5405
Phone (417) 389-1034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20221102000948 MO Practitioner - Nurse Practitioner 5890162978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sgoh Acquisition IncGroup PAC ID 5092616276, 95 clinicians

Practice addresses (Care Compare)

125 Main St
Noel, MO 64854-9124
Phone (417) 475-6151

1355 Rocketdyne Rd
Neosho, MO 64850-3106
Phone (417) 451-7425

912B State Hwy 59
Goodman, MO 64843-8252
Phone (417) 364-8300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sgoh Acquisition Inc CurrentSince Dec 19, 2022 Accepting new patients
Sgoh Acquisition Inc CurrentSince Dec 19, 2022 Accepting new patients

Locations

1101 Jackson St SW
Gravette, AR 72736
Phone (479) 787-5221

106 S Hickory St
Mount Vernon, MO 65712
Phone (417) 466-4110

117 E Hickory St
Neosho, MO 64850
Phone (417) 451-4545

1355 Rocketdyne Rd
Neosho, MO 64850
Phone (417) 451-2240

Interoperability endpoints

  • Direct secure messaging: lacy.harrington.1@32068.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1376268755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E HICKORY ST",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648501806",
            "telephone_number": "417-451-4545",
            "fax_number": "417-389-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E HICKORY ST",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648501806",
            "telephone_number": "417-451-4545",
            "fax_number": "417-389-2341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13207 Marina Del Rey",
            "address_purpose": "LOCATION",
            "city": "Neosho",
            "state": "MO",
            "postal_code": "648505405",
            "country_code": "US",
            "telephone_number": "417-389-1034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRINGTON",
        "first_name": "LACY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022040161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neosho, MO

Sources for this page

Verify at the official NPI Registry.