Active NPI
Lacy Vincent
- Licensed Vocational Nurse
- Merced, CA
National Provider Identifier
1609423318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN705886
- Practice address
- 300 E 15TH St Ste C
Merced, CA 95341-6217 - Phone
- (209) 386-1092
- NPI assigned
- Aug 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN705886 | CA | Primary |
Addresses
Primary practice location
300 E 15TH St Ste C
Merced, CA 95341-6217
Mailing address
3433 W Shaw Ave Ste 102
Fresno, CA 93711-3229
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VN705886 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599177600000",
"number": "1609423318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3433 W SHAW AVE STE 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E 15TH ST STE C",
"city": "MERCED",
"state": "CA",
"postal_code": "953416217",
"telephone_number": "209-386-1092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "LACY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-19",
"last_updated": "2020-09-04",
"certification_date": "2020-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN705886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.