Active NPI
Aastasshia Lynn Lacy, FNP-BC
- Family Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1992107296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R187768
- Practice address
- 3030 Greenmount Ave
Baltimore, MD 21218-4991 - Phone
- (410) 870-9567
- Fax
- (410) 934-1100
- NPI assigned
- Sep 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R187768 | MD | Primary |
| Nurse Practitioner | 363L00000X | 0024172066 | VA |
Addresses
Primary practice location
3030 Greenmount Ave
Baltimore, MD 21218-4991
Mailing address
3030 Greenmount Ave
Baltimore, MD 21218-4991
Phone (410) 870-9567
Other names 1
- Mrs. Aastasshia Lynn Lacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024172066 | VA | MD | Nurse Practitioner |
| R187768 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Reproductive Wellness Group | Current | Accepting new patients |
Interoperability endpoints
- aastasshia.lacy.1@30520.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Maternal & Fetal Medicine Physician
- Hanover, MD
- NPI 1588552640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1992107296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 GREENMOUNT AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212184991",
"telephone_number": "410-870-9567",
"fax_number": "410-934-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 GREENMOUNT AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212184991",
"telephone_number": "410-870-9567",
"fax_number": "410-934-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACY",
"first_name": "AASTASSHIA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-18",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R187768",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024172066",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AASTASSHIA",
"last_name": "LACY",
"middle_name": "LYNN",
"prefix": "MRS.",
"credential": "FNP-BC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.