Active NPI
Lacy Rae Kaushagen, DSP
- Personal Care Attendant
- Silver Bay, MN
National Provider Identifier
1982533295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 137304120250223
- Practice address
- 45 Adams Blvd
Silver Bay, MN 55614-1326 - Phone
- (218) 213-2708
- NPI assigned
- May 14, 2026
- Last updated
- May 14, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 137304120250223 | MN | Primary |
Addresses
Primary practice location
45 Adams Blvd
Silver Bay, MN 55614-1326
Mailing address
45 Adams Blvd
Silver Bay, MN 55614-1326
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137304120250223 | Other | MN | PCA AND CFSS CERTIFICATION |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137304120250223 | MN | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1982533295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 ADAMS BLVD",
"city": "SILVER BAY",
"state": "MN",
"postal_code": "556141326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 ADAMS BLVD",
"city": "SILVER BAY",
"state": "MN",
"postal_code": "556141326",
"telephone_number": "218-213-2708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUSHAGEN",
"first_name": "LACY",
"middle_name": "RAE",
"credential": "DSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-14",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "MN",
"license": "137304120250223",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PCA AND CFSS CERTIFICATION",
"identifier": "137304120250223",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Silver Bay, MN
- Joann Kelly Dingmann, CPHT
- Firstsolutions (SuperiorHealth Pharmacy)
- Heather Marie Goutermont, PT
- Harvest Moon Mental Health Services
- Ada M. Helleloid, MD
- Jacob Keller, PHARMD
- Lake County Ambulance (Silver Bay Ambulance)
- Lake View Memorial Hospital, Inc (Aspirus Lake View Silver Bay Clinic)
- Lori Kay Lillback
- Northshore Area Partners
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.