Lacy Smith, FNP-BC, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

53-78893 Issued in KS

Practice address

8101 College Blvd Ste 130
Overland Park, KS 66210-2793

Phone

(620) 649-2505

Fax

(669) 204-0329

NPI assigned

Jul 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS, OK2 enrollments

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.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southwest Medical Center Hospital, Liberal, KS, CCN 170068

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JGJFCD
• FHIR API: https://fhir4.healow.com/fhir/r4/JGJFCD/Endpoint/JGJFCD

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.

• Lotus Integrative Health

  • Primary Care Clinic/Center
  • Liberal, KS
  • NPI 1528725363

  Multi-Specialty, OK

  Medicare reassignment NPD Authorized official
• Groves Enterprises PLLC

  • Family Nurse Practitioner
  • Yukon, OK
  • NPI 1467761882

  Multi-Specialty

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southwest Medical Center

  • General Acute Care Hospital
  • Liberal, KS
  • NPI 1538109251
  Care Compare affiliation

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785024000000",
    "number": "1992358378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 COLLEGE BLVD STE 130",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102793",
            "telephone_number": "620-649-2505",
            "fax_number": "669-204-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 COLLEGE BLVD STE 130",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102793",
            "telephone_number": "620-649-2505",
            "fax_number": "669-204-0329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 NW 5th St",
            "address_purpose": "LOCATION",
            "city": "Guymon",
            "state": "OK",
            "postal_code": "739424204",
            "country_code": "US",
            "telephone_number": "620-649-2505",
            "fax_number": "669-204-0329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Kansas Ave",
            "address_purpose": "LOCATION",
            "city": "Liberal",
            "state": "KS",
            "postal_code": "679013304",
            "country_code": "US",
            "telephone_number": "620-649-2505",
            "fax_number": "669-204-0329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2524 N Broadway Ste 554",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730344199",
            "country_code": "US",
            "telephone_number": "620-649-2505",
            "fax_number": "669-204-0329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LACY",
        "name_prefix": "Ms.",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2026-07-26",
        "certification_date": "2026-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "216289",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "KS",
            "license": "13-127040-052",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "216289",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-78893",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-78893",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201291660A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201236440A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jolynn R Smith, PTA/ATC
• Kara Smith
• Karen Smith, PTA
• Katrina Chevonne Smith, FNP-BC
• Kay Yarnevich Smith, M.S., CCC-SLP
• Lindsay K Smith
• Lindsey Smith
• Lisa Smith
• Lynn Hagel Smith, DDS
• Macy Smith, RBT

• Psychiatric/Mental Health Nurse Practitioner in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.