Latisha Lashay Lacy

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

7106 E 151St St S
Bixby, OK 74008-4137

Phone

(918) 970-6225

NPI assigned

Apr 21, 2022

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Cleekham Empower Academy LLC

  • Psychiatric Residential Treatment Facility
  • Bixby, OK
  • NPI 1699420869
  NPD
• Southern Plains Treatment Services

  • Psychiatric Residential Treatment Facility
  • Bixby, OK
  • NPI 1831845767
  NPD

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1679217103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7106 E 151ST ST S",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740084137",
            "telephone_number": "918-970-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7106 E 151ST ST S",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740084137",
            "telephone_number": "918-970-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACY",
        "first_name": "LATISHA",
        "middle_name": "LASHAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gladwell Kisitu
• Jason Andrew Knapp, DDS
• Carly Jessica Knobloch, PMHNP
• Stephanie Lynne Kolman
• Shayna Koons, RBT
• Beena Tej Lad, D.D.S.
• Tej D. Lad, DDS
• Michael Larkins, OTR/L
• Scot J Law
• Eric Walsh Lehrman, DC

• All providers in Bixby, OK
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.