Individual provider Active NPI

Lacie Paxton, APRN

  • Family Nurse Practitioner
  • East Palatka, FL
National Provider Identifier
1720618341
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005797 Issued in FL
Practice address
133 County Road 207a
East Palatka, FL 32131-4150
Phone
(904) 662-5375
NPI assigned
Jan 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11005797 FL Primary

Addresses

Primary practice location

133 County Road 207a
East Palatka, FL 32131-4150

Mailing address

133 County Road 207a
East Palatka, FL 32131-4150
Phone (904) 662-5375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240819000064 FL Practitioner - Nurse Practitioner 3577001866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Cure LLCGroup PAC ID 3274877329, 11 clinicians

Practice addresses (Care Compare)

10870 US One N
Unit 104
Ponte Vedra, FL 32081-7804
Phone (904) 438-2720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Cure LLC CurrentSince May 30, 2024 Accepting new patients
Urgent Care Cure, LLC CurrentSince May 30, 2024 Accepting new patients
Lighthouse Pediatrics PLLC Past Accepting new patients

Locations

10870 US One N
Unit 104
Ponte Vedra Beach, FL 32081
Phone (904) 438-2720

3735 Longleaf Pine Pkwy
Ste 207
St Johns, FL 32259
Phone (904) 201-3271

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1720618341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 COUNTY ROAD 207A",
            "city": "EAST PALATKA",
            "state": "FL",
            "postal_code": "321314150",
            "telephone_number": "904-662-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 COUNTY ROAD 207A",
            "city": "EAST PALATKA",
            "state": "FL",
            "postal_code": "321314150",
            "telephone_number": "904-662-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAXTON",
        "first_name": "LACIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Palatka, FL

Sources for this page

Verify at the official NPI Registry.