Individual provider Active NPI

Laci L Thornton, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Vincennes, IN
National Provider Identifier
1952033979
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71013870A Issued in IN
Practice address
105 Broadway St
Vincennes, IN 47591-1251
Phone
(812) 790-2599
Fax
(812) 790-9004
NPI assigned
Jun 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71013870A IN Primary
Registered Nurse 163W00000X 28177544A IN
Family Nurse Practitioner 363LF0000X 71013870B IN
Registered Nurse 163W00000X 041348592 IL
Family Nurse Practitioner 363LF0000X 209026582 IL

Addresses

Primary practice location

105 Broadway St
Vincennes, IN 47591-1251

Mailing address

15549 Lake Lawrence Rd
Lawrenceville, IL 62439-4722
Phone (618) 928-1530

Other practice location 1

933 In 57
Suite B
Washington, IN 47501
Phone (812) 790-2599

Other identifiers 4

IdentifierTypeStateIssuer
28177544AOtherINSTATE BOARD OF NURSING
041348592OtherILSTATE BOARD OF NURSING
209026582OtherILSTATE BOARD OF NURSING
71013870AOtherINSTATE BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
041348592ILMDRegistered Nurse
28177544AINMDRegistered Nurse
209026582ILMDFamily Nurse Practitioner
71013870AINMDFamily Nurse Practitioner
71013870BINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children & Family Services, Corp. Family CurrentSince Jul 1, 2022 Accepting new patients
Soulful Sanctuary, LLC Family PastSince Jul 3, 2022 Accepting new patients

Locations

2290 S Theobald Ln
Vincennes, IN 47591
Phone (812) 886-3000

105 Broadway St
Vincennes, IN 47591
Phone (812) 790-2599

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1952033979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15549 LAKE LAWRENCE RD",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624394722",
            "telephone_number": "618-928-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BROADWAY ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911251",
            "telephone_number": "812-790-2599",
            "fax_number": "812-790-9004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "933 IN 57",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "IN",
            "postal_code": "47501",
            "country_code": "US",
            "telephone_number": "812-790-2599",
            "fax_number": "812-790-9004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "LACI",
        "middle_name": "L",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71013870A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28177544A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71013870B",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041348592",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209026582",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF NURSING",
            "identifier": "28177544A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF NURSING",
            "identifier": "041348592",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF NURSING",
            "identifier": "209026582",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF NURSING",
            "identifier": "71013870A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.