Individual provider Active NPI

Carmel M Lacey, MSN, FNP-BC

  • Family Nurse Practitioner
  • Wesley Chapel, FL
National Provider Identifier
1992319859
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11009053 Issued in FL
Practice address
2590 Healing Way
Wesley Chapel, FL 33543-5495
Phone
(813) 333-1186
Fax
(844) 691-5928
NPI assigned
Sep 8, 2020
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11009053 FL Primary

Addresses

Primary practice location

2590 Healing Way
Wesley Chapel, FL 33543-5495

Mailing address

1621 Salmonberry St
Wesley Chapel, FL 33543-8178
Phone (813) 997-7318

Other names 1

  • Carmel M Lacey Professional name

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 27, 2021 through Jan 27, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11009053FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1992319859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 SALMONBERRY ST",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335438178",
            "telephone_number": "813-997-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 HEALING WAY",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435495",
            "telephone_number": "813-333-1186",
            "fax_number": "844-691-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "CARMEL",
        "middle_name": "M",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEL",
            "last_name": "LACEY",
            "middle_name": "M",
            "credential": "MSN, FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.