Kathern M Lacy, MSN-FNPBC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

238290 Issued in AZ

Practice address

7395 S Houghton Rd
Tucson, AZ 85747-3304

Phone

(520) 664-1831

NPI assigned

Feb 17, 2020

Last updated

Feb 17, 2020By 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

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1760015986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 S RIPARIAN AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857487058",
            "telephone_number": "501-691-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7395 S HOUGHTON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857473304",
            "telephone_number": "520-664-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACY",
        "first_name": "KATHERN",
        "middle_name": "M",
        "credential": "MSN-FNPBC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "238290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen Robert Lacinski, DC DOCTOR OF CHIROPR
• Avery Elizabeth Lackner, LAC
• Michaela Lacorte
• Jane Lacovara, RN, MSN, CNS
• Michele Gertzulin Lacroix, CCC-SLP
• Katrina Lacy, D.O.
• Sarah Audel Ladas
• Maya Ladasky, LPC
• Annette J. Ladd, M.A.
• Barbara J Ladd, PH.D

• Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.