Active NPI
Lacy S. Kelly, CRNA
- Certified Registered Nurse Anesthetist
- Tuscaloosa, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-102873
- Practice address
- 1400 McFarland Blvd N
Tuscaloosa, AL 35406-2209 - Phone
- (205) 345-5500
- NPI assigned
- Feb 17, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-102873 | AL | Primary |
Addresses
Primary practice location
1400 McFarland Blvd N
Tuscaloosa, AL 35406-2209
Mailing address
11337 Kensington LN
Northport, AL 35475-3498
Phone (205) 317-7999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone (256) 265-8120
245 Governors Dr SE
Huntsville, AL 35801-3784
Phone (256) 265-8120
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-102873 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huntsville Anesthesiology Consultants PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Physynergy LLC | Current | Accepting new patients | |
| Huntsville Hospital Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Comprehensive Anesthesia Services PC | Current | Accepting new patients | |
| Physynergy, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Physynergy, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Sylacauga Health Care Authority | Past | Accepting new patients |
Locations
709 Ward Ave NE
Huntsville, AL 35801
Phone (256) 539-9471
721 Madison St SE
Huntsville, AL 35801
Phone (256) 533-4888
245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673
101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870
1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000
201 Governors Dr SW
Huntsville, AL 35801
Phone (256) 265-6851
2006 Franklin St SE
Ste 301
Huntsville, AL 35801
Phone (256) 539-9471
460 Lanier Rd
Madison, AL 35758
Phone (205) 558-3200
8375 Highway 72 W
Madison, AL 35758
Phone (256) 265-2012
Organizations & group practices 7
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.
-
- Certified Registered Nurse Anesthetist
- Huntsville, AL
- NPI 1851321079
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Huntsville, AL
- NPI 1194704742
-
- Certified Registered Nurse Anesthetist
- Huntsville, AL
- NPI 1073661492
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Huntsville, AL
- NPI 1134465560
Nurse Anesthetist, Certified Registered
-
- Hospitalist Physician
- Huntsville, AL
- NPI 1376960476
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1093173502
Nurse Anesthetist, Certified Registered
-
dba dba Coosa Valley Medical Center
- Family Medicine Physician
- Sylacauga, AL
- NPI 1124235320
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Huntsville Hospital
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234828800000",
"number": "1477792315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11337 KENSINGTON LN",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354753498",
"telephone_number": "205-317-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 MCFARLAND BLVD N",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354062209",
"telephone_number": "205-345-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "LACY",
"middle_name": "S.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-17",
"last_updated": "2009-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-102873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.