Lacey Lamkin Brown, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Hodge, LA
NPI 1427675586 · NPPES record last updated Jul 6, 2020
Key facts
- NPI
- 1427675586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 214161 (LA)
- Practice address
- 4633 Quitman Highway
Hodge, LA 71247 - Phone
- (318) 259-1100
- Fax
- (318) 259-1333
- NPI assigned
- Jul 6, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Medical Health Center
Practice addresses (Care Compare)
244 Bond St
Jonesboro, LA 71251-5334
Phone 3182591100200
Hospital & facility affiliations
- Lagniappe Homecare Northern Louisiana
- Elara Caring
- Jackson Parish Hospital
- Winn Parish Medical Center
- Northern Louisiana Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220110000021 | LA | Practitioner - Nurse Practitioner | 6406248111 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214161 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Health Center | Current |
Accepting new patients | |
| Mercy Medical Health Center | Current |
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
- https://api.platform.athenahealth.com/17704/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/GBEFBD
- lacey.brown@mmhc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 214161 | LA | Yes |
Addresses
Primary practice location
4633 Quitman Highway
Hodge, LA 71247
Mailing address
4633 Quitman Highway
Hodge, LA 71247
Phone (318) 259-1100
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | rennata@lamercymedical.com | Health Information Exchange (HIE) |
Other providers in Hodge, LA
All providers in Hodge, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.