Gable Harvey Lacy

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

710 SE Chinook Dr Apt K50
Pullman, WA 99163-4822

Phone

(360) 490-6369

NPI assigned

Apr 15, 2019

Sex

Male

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

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1689237877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W SIMPSON RD",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985848082",
            "telephone_number": "360-490-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SE CHINOOK DR APT K50",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991634822",
            "telephone_number": "360-490-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACY",
        "first_name": "GABLE",
        "middle_name": "HARVEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gara Knudtson, DNAP, CRNA
• Scott Kuhle, LICENSED MH COUNSELO
• Dana Kujala, RDN
• Kazuki Kurosawa
• Kyle Hazelwood MD PLLC
• Jessica Lainhart, PHARMD
• Christine Louise Land, APRN
• Julie Landers, M.A., CCC-SLP
• Heather Lannigan, LMSW
• Steven F Larsen, D.D.S.

• Athletic Trainer in Pullman, WA
• Providers in Pullman, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.