Lacey MC Coy

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

704582 Issued in CA

Practice address

339 Estornino LN
El Cajon, CA 92021-4220

Phone

(619) 403-3432

NPI assigned

Dec 12, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1449878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449878400000",
    "number": "1538534870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 ESTORNINO LN",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 ESTORNINO LN",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214220",
            "telephone_number": "619-403-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MC COY",
        "first_name": "LACEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-12",
        "last_updated": "2015-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "704582",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "704582",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Registered Nurse in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2015; 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.