Lacey Diane Coffey, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP143271 Issued in TX

Practice address

407 W Danieldale Rd Ste 100
Duncanville, TX 75137-3927

Phone

(214) 941-3192

NPI assigned

Dec 26, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Texas Pain Relief Group PLLCGroup PAC ID 2668603952, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lacey.coffey@ppoa.directbygreenway.com

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.

• Texas Pain Relief Group PLLC

  • Interventional Pain Medicine Physician
  • Hurst, TX
  • NPI 1003246299

  TX

  Medicare reassignment Care Compare group NPD
• Texas Pain Relief Group, PLLC

  • Interventional Pain Medicine Physician
  • Tampa, FL
  • NPI 1487028387
  NPD
• Texas Pain Relief Group PLLC

  • Family Nurse Practitioner
  • Hurst, TX
  • NPI 1396128328

  Family

  NPD (past)

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1891334603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N REO ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091013",
            "telephone_number": "813-330-1373",
            "fax_number": "813-864-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W DANIELDALE RD STE 100",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751373927",
            "telephone_number": "214-941-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "LACEY",
        "middle_name": "DIANE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Cirvello, AGACNP-BC
• City of Duncanville
• Rebecca Clarke, MS, CCC-SLP
• Telese Clarke
• Coconut Dental Duncanville PLLC
• Compassion Behavioral Health Inc
• Maritza Contreras
• Conwal Corp
• Conwal Corp
• Rodney Wayne Cook

• All providers in Duncanville, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.