Hailey Nicole Lacy, MS, RD, LD

Primary specialty

Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X

License

164.009015 Issued in IL

Practice address

2323 N Sheffield Ave
Chicago, IL 60614-3290

Phone

(812) 987-3779

NPI assigned

Feb 20, 2023

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1932807849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 N WELLS ST UNIT 519",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102529",
            "telephone_number": "812-987-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 N SHEFFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143290",
            "telephone_number": "812-987-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACY",
        "first_name": "HAILEY",
        "middle_name": "NICOLE",
        "credential": "MS, RD,  LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "IL",
            "license": "164.009015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emillie Jean Lacson, OTR/L
• Evelyn A. Lacuesta, M.D.
• Purchit V Lacuesta, M.D.
• Brianne Nicole Lacy, MD
• Callie R. Lacy, LCPC
• Maureen Lacy, PH.D.
• Thomas Edward Lad, M.D.
• Julia Lada, LCSW
• Andras Ladanyi, M.D., PH.D.
• Sydney Ladas, MD

• Sports Dietetics Nutrition Registered Dietitian in Chicago, IL
• Providers in Chicago, IL by specialty
• Sports Dietetics Nutrition Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.