Active NPI
Heather M Lackey, APRN
- Pediatric Nurse Practitioner
- Abilene, TX
National Provider Identifier
1487319554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1048574
- Practice address
- 2150 Cedar St
Abilene, TX 79601-2332 - Phone
- (325) 677-6067
- NPI assigned
- Nov 3, 2021
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1048574 | TX | Primary |
Addresses
Primary practice location
2150 Cedar St
Abilene, TX 79601-2332
Mailing address
3424 S 23Rd St
Abilene, TX 79605-5750
Phone (325) 370-7888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1850 Hickory St
Suite 102
Abilene, TX 79601-2325
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1048574 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Assn for Pediatrics | Current | Accepting new patients | |
| Abilene Children'S Medical Association, LLP | Past | Accepting new patients |
Locations
5302 Buffalo Gap Rd
Ste 100
Abilene, TX 79606
Phone (325) 677-2801
1850 Hickory St
Ste 102
Abilene, TX 79601
Phone (325) 677-2801
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Abilene, TX
- NPI 1316957731
-
- Pediatrics Physician
- Abilene, TX
- NPI 1184680696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1487319554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3424 S 23RD ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796055750",
"telephone_number": "325-370-7888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 CEDAR ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796012332",
"telephone_number": "325-677-6067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACKEY",
"first_name": "HEATHER",
"middle_name": "M",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-03",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "1048574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.