Organization Active NPI

Lacedbylise LLC

  • Customized Equipment (DME)
  • Kansas City, MO
National Provider Identifier
1720758808
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
LACEDBYLISE LLC
Practice address
3839 NW 85TH Ter Apt E
Kansas City, MO 64154-3796
Phone
(816) 775-3239
NPI assigned
Sep 20, 2021
Last updated
Sep 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Authorized official

Name
Carllise Washington
Title
Owner
Phone
(816) 775-3239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

3839 NW 85TH Ter Apt E
Kansas City, MO 64154-3796

Mailing address

3839 NW 85TH Ter Apt E
Kansas City, MO 64154-3796
Phone (816) 775-3239

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1720758808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 NW 85TH TER APT E",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641543796",
            "telephone_number": "816-775-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 NW 85TH TER APT E",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641543796",
            "telephone_number": "816-775-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACEDBYLISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "CARLLISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-775-3239"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.