Active NPI
Lacey L Flick, CRNA
- Certified Registered Nurse Anesthetist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 86162
- Practice address
- 1635 North Loop W
Houston, TX 77008-1532 - Phone
- (713) 400-2990
- Fax
- (713) 400-2993
- NPI assigned
- Oct 28, 2010
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 86162 | TX | Primary |
| Nurse Practitioner | 363L00000X | AP119855 | TX | |
| Registered Nurse | 163W00000X | RN723835 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 723835 | TX |
Addresses
Primary practice location
1635 North Loop W
Houston, TX 77008-1532
Mailing address
PO Box 22926
Jackson, MS 39225-2926
Phone (713) 400-2990
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 723835 | Other | TX | RN LICENSE |
| 280605102 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1313 Hermann Dr
Houston, TX 77004-7005
Phone (713) 527-5000
1635 N Loop W
Houston, TX 77008-1532
Phone (713) 400-2990
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN723835 | TX | MD | Registered Nurse |
| 723835 | TX | MD | Certified Registered Nurse Anesthetist |
| 86162 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texans Anesthesia Associates PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1313 Hermann Dr
Houston, TX 77004
Phone (713) 527-5000
1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066
1313 Hermann Dr
Ste 270
Houston, TX 77004
Phone (281) 444-3681
7700 Fannin St
Houston, TX 77054
Phone (713) 790-1349
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 and National Provider Directory roles.
-
dba Pain Relief Associates
- Anesthesiology Physician
- Webster, TX
- NPI 1275733982
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Houston Healthcare Medical Center
- General Acute Care Hospital
- Houston, TX
- NPI 1073043592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537488000000",
"number": "1417257171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22926",
"city": "JACKSON",
"state": "MS",
"postal_code": "392252926",
"telephone_number": "713-400-2990",
"fax_number": "713-400-2993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 NORTH LOOP W",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770081532",
"telephone_number": "713-400-2990",
"fax_number": "713-400-2993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLICK",
"first_name": "LACEY",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-28",
"last_updated": "2018-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "86162",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP119855",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "RN723835",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "723835",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "723835",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "280605102",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.