Individual provider Active NPI

Lacey Osborne Harvey

  • Family Nurse Practitioner
  • Daphne, AL
National Provider Identifier
1861147464
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-153896 Issued in AL
Practice address
29710 Urgent Care Dr
Daphne, AL 36526-9595
Phone
(251) 626-3782
NPI assigned
Feb 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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 1-153896 AL Primary

Addresses

Primary practice location

29710 Urgent Care Dr
Daphne, AL 36526-9595

Mailing address

41 E Chadwick Dr
Mobile, AL 36606-2473
Phone (251) 401-8461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20220513000338 AL Practitioner - Nurse Practitioner 5395122329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Diagnostic and Medical Clinic LLCGroup PAC ID 2860399623, 168 clinicians

Practice addresses (Care Compare)

1700 Springhill Ave
Suite 100
Mobile, AL 36604-1416
Phone (251) 435-1200

Hospital & facility affiliations

  • Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Shore Urgent Care LLC CurrentSince Mar 1, 2022 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince Jun 1, 2021 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince Jun 1, 2021 Accepting new patients
Eastern Shore Urgent Care LLC Family PastSince Feb 24, 2022 Accepting new patients

Locations

29710 Urgent Care Dr
Daphne, AL 36526
Phone (251) 626-3782

1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366

1700 Spring Hill Ave
Ste 100
Mobile, AL 36604

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4349/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lharvey196232@directinfirmaryhealth.org

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 and National Provider Directory roles.

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": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1861147464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 E CHADWICK DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366062473",
            "telephone_number": "251-401-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29710 URGENT CARE DR",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269595",
            "telephone_number": "251-626-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "LACEY",
        "middle_name": "OSBORNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-153896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.