Individual provider Active NPI

Heather M Lackey, APRN

  • Pediatric Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1487319554
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1048574 Issued in TX
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

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251105004744 TX Practitioner - Nurse Practitioner 3274023528 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
1048574TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Assn for Pediatrics CurrentSince Aug 28, 2025 Accepting new patients
Abilene Children'S Medical Association, LLP PastSince Nov 9, 2021 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.

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

Verify at the official NPI Registry.