Individual provider Active NPI

Lacey Lamkin Brown, FNP-C

  • Family Nurse Practitioner
  • Hodge, LA
National Provider Identifier
1427675586
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
214161 Issued in LA
Practice address
4633 Quitman Highway
Hodge, LA 71247
Phone
(318) 259-1100
Fax
(318) 259-1333
NPI assigned
Jul 6, 2020
Last updated
Jul 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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 214161 LA Primary

Addresses

Primary practice location

4633 Quitman Highway
Hodge, LA 71247

Mailing address

4633 Quitman Highway
Hodge, LA 71247
Phone (318) 259-1100

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL rennata@lamercymedical.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20220110000021 LA Practitioner - Nurse Practitioner 6406248111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Medical Health CenterGroup PAC ID 1557639655, 11 clinicians

Practice addresses (Care Compare)

244 Bond St
Jonesboro, LA 71251-5334
Phone 3182591100200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Health Center CurrentSince Sep 28, 2021 Accepting new patients
Mercy Medical Health Center CurrentSince Sep 28, 2021 Accepting new patients

Locations

4633 Quitman Hwy
Hodge, LA 71247
Phone (318) 259-1100

244 Bond St
Jonesboro, LA 71251
Phone (318) 259-1100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17704/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/GBEFBD
  • Direct secure messaging: lacey.brown@mmhc.eclinicaldirectplus.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 5

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": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1427675586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 QUITMAN HIGHWAY",
            "city": "HODGE",
            "state": "LA",
            "postal_code": "71247",
            "telephone_number": "318-259-1100",
            "fax_number": "318-259-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 QUITMAN HIGHWAY",
            "city": "HODGE",
            "state": "LA",
            "postal_code": "71247",
            "telephone_number": "318-259-1100",
            "fax_number": "318-259-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LACEY",
        "middle_name": "LAMKIN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "214161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rennata@lamercymedical.com",
            "affiliation": "N",
            "endpointDescription": "Hippa secure url",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIPPA secure URL",
            "address_1": "4633 Quitman Highway",
            "city": "Hodge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "71247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hodge, LA

Sources for this page

Verify at the official NPI Registry.