Laclede Groves

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

LACLEDE GROVES

Practice address

727 S Laclede Station Rd
Saint Louis, MO 63119-4911

Phone

(314) 446-2462

Fax

(314) 446-2397

NPI assigned

Jul 23, 2021

Last updated

Jul 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Otha Thomas, LPN

Title

Director of Health Services

Phone

(314) 446-2462

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1457924755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 S LACLEDE STATION RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194911",
            "telephone_number": "314-446-2462",
            "fax_number": "314-446-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 S LACLEDE STATION RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194911",
            "telephone_number": "314-446-2462",
            "fax_number": "314-446-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACLEDE GROVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "OTHA",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH SERVICES",
        "authorized_official_telephone_number": "314-446-2462",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan M Lackey
• Timothy C Lackey, MD
• Carmenlita Lackland Montgomery
• Michelle Christine Lackner
• Norbert Lackner, RPH
• Katrina Lacombe, MA, LPC, ATR
• Kristen Lacosse, DPT
• Aaron John Lacy, MD
• Allison Lacy, AU.D.
• Cecelia Rosetta Lacy, L.P.N.

• Licensed Practical Nurse in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Licensed Practical Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.