Lacy Ford, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2024027037 Issued in MO

Practice address

207 S Main St
Clinton, MO 64735-2154

Phone

(660) 885-3800

NPI assigned

Jul 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fordlam LLC

  • Chiropractor
  • Clinton, MO
  • NPI 1417795196
  Medicare reassignment NPD Authorized official
• Baron Health Service, LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Saint Louis, MO
  • NPI 1104059641

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1508604182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S MAIN ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S MAIN ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352154",
            "telephone_number": "660-885-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "LACY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2024027037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherri L. Fenwick, APRN
• Elizabeth Fialkowski, SLP
• Jonathan Tyler Finkle, DNAP
• Tricia Fleming, RD
• Alisha Ford, RBT
• Fordlam LLC
• Martha Ann Foster, RN, LPT
• Four Seasons in Home Services, LLC
• Four Seasons in Home Services, LLC
• Four Seasons in Home Services,LLC

• All providers in Clinton, MO
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.

Verify at the official NPI Registry.