Active NPI
Vivian Elesa Lasley, IECE SP. NEEDS ED
- Contractor
- Pineville, KY
National Provider Identifier
1518171685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- Hwy 190 W
Reece Subdivision
Pineville, KY 40977 - Phone
- (606) 337-6107
- Fax
- (606) 248-6679
- NPI assigned
- May 9, 2007
- Last updated
- Jul 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | KY | Primary |
Addresses
Primary practice location
Hwy 190 W
Reece Subdivision
Pineville, KY 40977
Mailing address
P.O. Box 1035
Pineville, KY 40977
Phone (606) 337-6107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02015 | Other | KY | PROVIDER ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1518171685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1035",
"city": "PINEVILLE",
"state": "KY",
"postal_code": "40977",
"telephone_number": "606-337-6107",
"fax_number": "606-248-6679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HWY 190 W",
"address_2": "REECE SUBDIVISION",
"city": "PINEVILLE",
"state": "KY",
"postal_code": "40977",
"telephone_number": "606-337-6107",
"fax_number": "606-248-6679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASLEY",
"first_name": "VIVIAN",
"middle_name": "ELESA",
"name_prefix": "Mrs.",
"credential": "IECE SP. NEEDS ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ID NUMBER",
"identifier": "02015",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pineville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.