Individual provider Active NPI

Leslie A Frazier-Lacey, RN

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1518307263
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
487466 Issued in NY
Practice address
1873 Eastern Pkwy
Brooklyn, NY 11233-3214
Phone
(718) 498-1001
NPI assigned
Jun 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 487466 NY Primary

Addresses

Primary practice location

1873 Eastern Pkwy
Brooklyn, NY 11233-3214

Mailing address

1818 Newkirk Ave
Apt 5T
Brooklyn, NY 11226-7359
Phone (718) 421-0070

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
487466NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1518307263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 NEWKIRK AVE",
            "address_2": "APT 5T",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267359",
            "telephone_number": "718-421-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1873 EASTERN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112333214",
            "telephone_number": "718-498-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER-LACEY",
        "first_name": "LESLIE",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "487466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.