Individual provider Active NPI

Jane Eloise Lacey, MD

  • Specialist
  • Carson City, NV
National Provider Identifier
1881654689
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11658 Issued in NV
Practice address
1525 Vista LN
120
Carson City, NV 89703-4626
Phone
(775) 885-9991
Fax
(775) 883-0884
NPI assigned
Mar 24, 2006
Last updated
Feb 27, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 11658 NV Primary

Addresses

Primary practice location

1525 Vista LN
120
Carson City, NV 89703-4626

Mailing address

1525 Vista LN
120
Carson City, NV 89703-4626
Phone (775) 885-9991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1881654689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 VISTA LN",
            "address_2": "120",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034626",
            "telephone_number": "775-885-9991",
            "fax_number": "775-883-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 VISTA LN",
            "address_2": "120",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034626",
            "telephone_number": "775-885-9991",
            "fax_number": "775-883-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "JANE",
        "middle_name": "ELOISE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "11658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.