Individual provider Active NPI

Lacey Lynn McClure, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Webster, TX
National Provider Identifier
1790377687
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1029696 Issued in TX
Practice address
110 E Medical Center Blvd
Webster, TX 77598-4301
Phone
(832) 224-9500
NPI assigned
Feb 11, 2021
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1029696 TX Primary

Addresses

Primary practice location

110 E Medical Center Blvd
Webster, TX 77598-4301

Mailing address

18333 Egret Bay Blvd Ste 140
Houston, TX 77058-3239
Phone (281) 332-3001

Other practice location 1

301 University Blvd
Galveston, TX 77555-4042
Phone (409) 772-2222

Other practice location 2

1500 Sunset Dr
Friendswood, TX 77546-4724
Phone (281) 992-4300

Other practice location 3

3400 E Walnut St
Pearland, TX 77581-4716
Phone (281) 485-2776

Other practice location 4

255 N Egret Bay Blvd
League City, TX 77573-6533
Phone (281) 525-4320

Other practice location 5

411 Alabama Ave
League City, TX 77573-2615
Phone (281) 332-9588

Other practice location 6

2240 Gulf Fwy S
League City, TX 77573-5143
Phone (409) 772-1011

Other practice location 7

18333 Egret Bay Blvd Ste 140
Houston, TX 77058-3239
Phone (281) 332-3001

Other practice location 8

10800 Flora Mae Meadows Rd
Houston, TX 77089-5974
Phone (832) 328-2350

Other practice location 9

709 W Medical Center Blvd
Webster, TX 77598-4005
Phone (281) 332-3322

Other practice location 10

655 E Medical Center Blvd
Webster, TX 77598-4328
Phone (281) 286-1500

Other practice location 11

5020 Space Center Blvd
Pasadena, TX 77505-3966
Phone (713) 575-1800

Other practice location 12

350 Blossom St
Webster, TX 77598-4206
Phone (281) 316-7800

Other practice location 13

4900 E Sam Houston Pkwy S
Pasadena, TX 77505-1400
Phone (281) 998-0399

Other practice location 14

3950 Underwood Rd
LA Porte, TX 77571-3900
Phone (210) 951-1900

Other practice location 15

16130 Highway 3
Webster, TX 77598-2330
Phone (832) 426-7030

Other practice location 16

500 W Medical Center Blvd
Webster, TX 77598-4220
Phone (281) 332-2511

Other practice location 17

200 Blossom St
Webster, TX 77598-4204
Phone (832) 632-6500

Other practice location 18

6150 South Loop E
Houston, TX 77087-1010
Phone (713) 643-2628

Other identifiers 3

IdentifierTypeStateIssuer
424368502MedicaidTX
8PW475OtherTXBCBS
424368501MedicaidTX

Other names 1

  • Ms. Lacey Lynn Richoux Former name

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
I20210511000848 TX Practitioner - Nurse Practitioner 4385053016 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lone Star Intensivists at Gulf Coast, PLLCGroup PAC ID 9537410972, 49 clinicians

Practice addresses (Care Compare)

4000 Spencer Hwy
Pasadena, TX 77504-1202
Phone (713) 359-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59 LLC CurrentSince Jan 8, 2022 Accepting new patients
Lone Star Intensivists at Gulf Coast, PLLC CurrentSince Oct 14, 2023 Accepting new patients
KND Development 59 LLC Current Accepting new patients
KND Development 59, LLC CurrentSince Jan 8, 2022 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000

350 Blossom St
Webster, TX 77598
Phone (281) 316-7800

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

Interoperability endpoints

  • Direct secure messaging: lacey.mcclure@hca2.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1790377687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18333 EGRET BAY BLVD STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583239",
            "telephone_number": "281-332-3001",
            "fax_number": "281-332-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E MEDICAL CENTER BLVD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984301",
            "telephone_number": "832-224-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775554042",
            "country_code": "US",
            "telephone_number": "409-772-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "Friendswood",
            "state": "TX",
            "postal_code": "775464724",
            "country_code": "US",
            "telephone_number": "281-992-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775814716",
            "country_code": "US",
            "telephone_number": "281-485-2776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 N Egret Bay Blvd",
            "address_purpose": "LOCATION",
            "city": "League City",
            "state": "TX",
            "postal_code": "775736533",
            "country_code": "US",
            "telephone_number": "281-525-4320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Alabama Ave",
            "address_purpose": "LOCATION",
            "city": "League City",
            "state": "TX",
            "postal_code": "775732615",
            "country_code": "US",
            "telephone_number": "281-332-9588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2240 Gulf Fwy S",
            "address_purpose": "LOCATION",
            "city": "League City",
            "state": "TX",
            "postal_code": "775735143",
            "country_code": "US",
            "telephone_number": "409-772-1011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18333 Egret Bay Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770583239",
            "country_code": "US",
            "telephone_number": "281-332-3001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10800 Flora Mae Meadows Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770895974",
            "country_code": "US",
            "telephone_number": "832-328-2350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "709 W Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984005",
            "country_code": "US",
            "telephone_number": "281-332-3322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 E Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984328",
            "country_code": "US",
            "telephone_number": "281-286-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5020 Space Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775053966",
            "country_code": "US",
            "telephone_number": "713-575-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Blossom St",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984206",
            "country_code": "US",
            "telephone_number": "281-316-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4900 E Sam Houston Pkwy S",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775051400",
            "country_code": "US",
            "telephone_number": "281-998-0399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3950 Underwood Rd",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "TX",
            "postal_code": "775713900",
            "country_code": "US",
            "telephone_number": "210-951-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16130 Highway 3",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775982330",
            "country_code": "US",
            "telephone_number": "832-426-7030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984220",
            "country_code": "US",
            "telephone_number": "281-332-2511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Blossom St",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984204",
            "country_code": "US",
            "telephone_number": "832-632-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6150 South Loop E",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770871010",
            "country_code": "US",
            "telephone_number": "713-643-2628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "LACEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1029696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424368502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8PW475",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424368501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACEY",
            "last_name": "RICHOUX",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.