Individual provider Active NPI

Katie Lacey, FNP

  • Family Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1528869872
Registry record updated Mar 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
240051 Issued in LA
Practice address
3020 Kingman St
Metairie, LA 70006-6673
Phone
(504) 353-5500
NPI assigned
Mar 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 240051 LA Primary

Addresses

Primary practice location

3020 Kingman St
Metairie, LA 70006-6673

Mailing address

4208 Lake Villa Dr
Metairie, LA 70002-3066
Phone (504) 481-5350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20250429000879 LA Practitioner - Nurse Practitioner 1850817206 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiran G Zaveri MD LLC CurrentSince Apr 14, 2025 Accepting new patients
Hector Montalvo MD Inc PastSince Apr 14, 2025 Accepting new patients

Locations

3020 Kingman St
Ste B
Metairie, LA 70006
Phone (504) 353-5500

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": "1742601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742601600000",
    "number": "1528869872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 LAKE VILLA DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023066",
            "telephone_number": "504-481-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 KINGMAN ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066673",
            "telephone_number": "504-353-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "KATIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-22",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "240051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.