Individual provider Active NPI

Lacey Sahuque

  • General Practice Registered Nurse
  • Santa Barbara, CA
National Provider Identifier
1447714621
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
804841 Issued in CA
Practice address
Student Health Service - Ucsb M/C 7002
Santa Barbara, CA 93106-7002
Phone
(805) 893-7129
NPI assigned
Jan 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 804841 CA Primary

Addresses

Primary practice location

Student Health Service - Ucsb M/C 7002
Santa Barbara, CA 93106-7002

Mailing address

Student Health Service - Ucsb M/C 7002
Santa Barbara, CA 93106-7002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
804841CAMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1447714621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STUDENT HEALTH SERVICE - UCSB M/C 7002",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931067002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STUDENT HEALTH SERVICE - UCSB M/C 7002",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931067002",
            "telephone_number": "805-893-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHUQUE",
        "first_name": "LACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "804841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.