Susan Lacey, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

2703601 Issued in NY

Practice address

74 School Dr
Central Square, NY 13036-3501

Phone

(315) 668-4281

Fax

(315) 668-4356

NPI assigned

Feb 17, 2012

Last updated

Feb 17, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1629341987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 SCHOOL DR",
            "city": "CENTRAL SQUARE",
            "state": "NY",
            "postal_code": "130363501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 SCHOOL DR",
            "city": "CENTRAL SQUARE",
            "state": "NY",
            "postal_code": "130363501",
            "telephone_number": "315-668-4281",
            "fax_number": "315-668-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "SUSAN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-17",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "2703601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Peter Kossa, D.D.S.
• Claudia F Krider, PA
• Arun R Kunwar, MD
• Kuss Physical Therapy PLLC
• John Kenneth Kuss, PT, DPT, MTC
• Danielle Marie Lamay, LPN
• Elizabeth Ellen Lannier, PT
• Amber Lawless, NP
• Karolyn Jane Lewis, M.S., CCC-SLP
• Eric C Lopez-Rosario

• School Registered Nurse in Central Square, NY
• Providers in Central Square, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.