Debra Lacey, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

R032781 Issued in SD

Practice address

Hwy 18
Pine Ridge, SD 57770

Phone

(605) 867-5131

Fax

(605) 867-3097

NPI assigned

Jun 11, 2008

Last updated

Jun 11, 2008By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1972763167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 1201",
            "address_2": "HWY 18",
            "city": "PINE RIDGE",
            "state": "SD",
            "postal_code": "57770",
            "telephone_number": "605-867-5131",
            "fax_number": "605-867-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 18",
            "city": "PINE RIDGE",
            "state": "SD",
            "postal_code": "57770",
            "telephone_number": "605-867-5131",
            "fax_number": "605-867-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "DEBRA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "SD",
            "license": "R032781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Mae Johnson, APRN
• Mary Kathryn Jones, RN
• Peter I Juve, PHARMD
• Christopher Harris Keck, PHARMD
• Keith Lincoln Keller, M.D., R.PH.
• Tenecia Dawn Lancaster, FNP-BC
• Damien Eric Lawhorn, RDH
• Wendi S Lewin
• Siyue Li, PHARMD.
• Jodi Lias, RN

• Medical-Surgical Registered Nurse in Pine Ridge, SD
• Providers in Pine Ridge, SD by specialty
• Medical-Surgical Registered Nurse in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.