Individual provider Active NPI

Lacey Jaye Thurman

  • Nurse Practitioner
  • Hopkinsville, KY
National Provider Identifier
1558097923
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3018129 Issued in KY
Practice address
500 Clinic Dr
Hopkinsville, KY 42240-4991
Phone
(270) 707-3329
Fax
(270) 707-3374
NPI assigned
Jul 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3018129 KY Primary
Family Nurse Practitioner 363LF0000X 3018129 KY

Addresses

Primary practice location

500 Clinic Dr
Hopkinsville, KY 42240-4991

Mailing address

500 Clinic Dr
Hopkinsville, KY 42240-4991
Phone (270) 707-3374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20221201001257 KY Practitioner - Nurse Practitioner 5890163414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Deaconess Medical Group IncGroup PAC ID 6103220330, 241 clinicians

Practice addresses (Care Compare)

500 Clinic Dr
FL 3
Hopkinsville, KY 42240-4991
Phone (270) 707-3300

Hospital & facility affiliations

  • Baptist Health Deaconess Madisonville Hospital, Madisonville, KY, CCN 180093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3018129KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Deaconess Medical Group Inc Nurse Practitioner CurrentSince Nov 1, 2022 Accepting new patients
Baptist Health Deaconess Medical Group Inc Nurse Practitioner CurrentSince Nov 1, 2022 Accepting new patients
Baptist Health Deaconess Medical Group Inc Past Accepting new patients

Locations

500 Clinic Dr
Hopkinsville, KY 42240
Phone (270) 707-3300

500 Clinic Dr
Fl 3
Hopkinsville, KY 42240
Phone (270) 707-3300

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1558097923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CLINIC DR",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422404991",
            "telephone_number": "270-707-3374",
            "fax_number": "270-707-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CLINIC DR",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422404991",
            "telephone_number": "270-707-3329",
            "fax_number": "270-707-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "LACEY",
        "middle_name": "JAYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3018129",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018129",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.