Lacie Jai Anderson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

60670 Issued in OK

Practice address

6721 NW 124TH Ter
Oklahoma City, OK 73142-3124

Phone

(405) 201-0322

NPI assigned

Nov 15, 2018

Last updated

Nov 15, 2018By 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

State licenses

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1629547948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6721 NW 124TH TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731423124",
            "telephone_number": "405-201-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6721 NW 124TH TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731423124",
            "telephone_number": "405-201-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LACIE",
        "middle_name": "JAI",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "60670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Millicent Anderson, M.ED
• Koby Anderson, PA-C
• Kristen Anderson, LPC
• Kyle J Anderson
• La Donna Grace Anderson, MS REHAB. COUNSELING
• Latoya Rena Anderson
• Lavone Marie Anderson, LPC
• Lori Suzette Anderson, DDS
• Maren Alenka Anderson
• Mark Anderson, M.D.

• Licensed Practical Nurse in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Licensed Practical Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.