Cortney Lynn Lacefield

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3011251 Issued in KY

Practice address

5129 Dixie Hwy Ste 201
Louisville, KY 40216-1727

Phone

(502) 430-6223

Fax

(502) 369-5229

NPI assigned

Nov 9, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pain Relief CentersGroup PAC ID 1254689284, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Pain Relief Centers

  • Interventional Pain Medicine Physician
  • Louisville, KY
  • NPI 1457851578

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1841703089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 BLEVINS GAP RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402722072",
            "telephone_number": "502-376-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5129 DIXIE HWY STE 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161727",
            "telephone_number": "502-430-6223",
            "fax_number": "502-369-5229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Blevins Gap Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402722072",
            "country_code": "US",
            "telephone_number": "502-376-3696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Financial Pl Ste B103",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427018481",
            "country_code": "US",
            "telephone_number": "270-600-7080",
            "fax_number": "502-369-5229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACEFIELD",
        "first_name": "CORTNEY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011251",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3011251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100583060",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Herbert William Labordeaux, DMD
• Conley Kathryn Labrake, OTR/L
• Anthony W Labraney, LCSW, LCADC
• Lac Enterprises, Inc.
• Rachel Lacap
• Jacklynn Teal Neutz Lacefield, AUD
• Marina Lacefield, PHARMD
• John A Lach Jr., MD
• Mary Elizabeth Lacher, MD
• Danielle Alison Lackey

• Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.