Active NPI
Jane Eloise Lacey, MD
- Specialist
- Carson City, NV
National Provider Identifier
1881654689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 11658
- 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, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.