Individual provider Active NPI

Lacey Whitlatch, NP

  • Family Nurse Practitioner
  • Athens, OH
National Provider Identifier
1427509280
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.019826 Issued in OH
Practice address
206 Columbus Rd Ste 203
Athens, OH 45701-1316
Phone
(740) 331-6910
Fax
(740) 331-6919
NPI assigned
Oct 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 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 APRN.CNP.019826 OH Primary

Addresses

Primary practice location

206 Columbus Rd Ste 203
Athens, OH 45701-1316

Mailing address

416 Colegate Dr BLDG 3
Marietta, OH 45750-9549
Phone (740) 374-3526

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lacey.whitlatch@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20161214000411 OH Practitioner - Nurse Practitioner 6901186790 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

206 Colubus Rd
Suite 203
Athens, OH 45701-1316
Phone (740) 331-6910

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Arts, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Selby General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Selby General Hospital CurrentSince Dec 17, 2025 Accepting new patients
Selby General Hospital CurrentSince Dec 17, 2025 Accepting new patients
Marietta Memorial Hospital Past Accepting new patients

Locations

1106 Colegate Dr
Marietta, OH 45750
Phone (740) 374-7700

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1427509280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 COLEGATE DR BLDG 3",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509549",
            "telephone_number": "740-374-3526",
            "fax_number": "740-374-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 COLUMBUS RD STE 203",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011316",
            "telephone_number": "740-331-6910",
            "fax_number": "740-331-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLATCH",
        "first_name": "LACEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lacey.whitlatch@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "206 Columbus Rd Ste 203",
            "city": "Athens",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457011316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

Verify at the official NPI Registry.