Individual provider Active NPI

Vivian Elesa Lasley, IECE SP. NEEDS ED

  • Contractor
  • Pineville, KY
National Provider Identifier
1518171685
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02015OtherKYPROVIDER 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.

Verify at the official NPI Registry.