Lacy Georgette Ireland, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28188363A Issued in IN

Practice address

1000 N Broadway
Peru, IN 46970-1070

Phone

(765) 472-5335

NPI assigned

Dec 7, 2018

Last updated

Dec 7, 2018By the provider in NPPES

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

Other names 1

• Lacy Georgette Lawson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1689145211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N BROADWAY",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N BROADWAY",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701070",
            "telephone_number": "765-472-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRELAND",
        "first_name": "LACY",
        "middle_name": "GEORGETTE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28188363A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACY",
            "last_name": "LAWSON",
            "middle_name": "GEORGETTE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Debra Iles, BA
• Indiana Health Centers, Inc (Community Health Center of Miami County)
• Indiana Pediatric Associates LLC
• Phyllis Annette Ingham, NP-C
• Innovative Hospital Care Inc
• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path
• Stacey Jaberg
• Morgen Marie Jackson
• Elizabeth A. Jernagan, MSN, RN
• Johnson Memorial Hospital (The Waters of Peru Skilled Nursing Facility)

• Family Nurse Practitioner in Peru, IN
• Providers in Peru, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.