Aquarius M Lacey, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

20130166 Issued in LA

Practice address

39104 Prairie South Dr
Gonzales, LA 70737-9510

Phone

(225) 400-1376

NPI assigned

May 6, 2022

Last updated

May 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A&R Helping Hands LLC

  • Internal Medicine Physician
  • Gonzales, LA
  • NPI 1467195370

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1407592074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39104 PRAIRIE SOUTH DR",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707379510",
            "telephone_number": "225-400-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39104 PRAIRIE SOUTH DR",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707379510",
            "telephone_number": "225-400-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "AQUARIUS",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "20130166",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "LA",
            "license": "20130166",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "LA",
            "license": "20130166",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhea Evette Kyles, FNP
• Dwayne Paul Labatut, N.P.
• Tina Ann Labatut, PT
• Austin Michael Labbe, MD
• Laboratory Corporation of America Holdings
• Michael Lacour, NCC, PLPC
• Keely Marie Ladner, LOTR
• Ciji Lafargue
• Lagniappe Pharmacy
• Nicole Elizabeth Laiche, NP

• Registered Nurse in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.