Individual provider Active NPI

Alec L Lacey II, MSN,APRN,FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1699440008
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP146137 Issued in TX
Practice address
9801 Westheimer Rd Ste 300
Houston, TX 77042-3979
Phone
(281) 747-9495
NPI assigned
Aug 9, 2021
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP146137 TX Primary
Nurse Practitioner 363L00000X AP146137 TX

Addresses

Primary practice location

9801 Westheimer Rd Ste 300
Houston, TX 77042-3979

Mailing address

9801 Westheimer Rd Ste 300
Houston, TX 77042-3979
Phone (314) 327-7839

Other practice location 1

2470 Cheshire Bridge Rd NE Apt 1122
Atlanta, GA 30324-4033
Phone (314) 327-7839

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL n/a
Other URL n/a
Other URL n/a

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230410002332 TX Practitioner - Nurse Practitioner 3173998903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP146137TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Exclusive Care LLC Single Specialty CurrentSince Dec 28, 2022 Accepting new patients
AIDS Foundation Houston, Inc. Single Specialty Past Accepting new patients

Locations

9801 Westheimer Rd
Ste 300
Houston, TX 77042
Phone (713) 714-3137

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1699440008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 WESTHEIMER RD STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423979",
            "telephone_number": "314-327-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 WESTHEIMER RD STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423979",
            "telephone_number": "281-747-9495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2470 Cheshire Bridge Rd NE Apt 1122",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303244033",
            "country_code": "US",
            "telephone_number": "314-327-7839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACEY",
        "first_name": "ALEC",
        "middle_name": "L",
        "name_suffix": "II",
        "credential": "MSN,APRN,FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP146137",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP146137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "endpointDescription": "n/a",
            "address_1": "2470 Cheshire Bridge Rd Apt. 1122",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "2470 Cheshire Bridge Rd NE Apt 1122",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303244033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "9801 Westheimer Rd Ste 300",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770423979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.