Active NPI
Lacy A McMahon, HEALTH SERVICES TECH
- Other Technician
- St. Louis, MO
National Provider Identifier
1992844401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 1222 Spruce Street
RM 201.a
St. Louis, MO 63129 - Phone
- (314) 269-2310
- NPI assigned
- Feb 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
1222 Spruce Street
RM 201.a
St. Louis, MO 63129
Mailing address
1222 Spruce Street
RM 201.a
St. Louis, MO 63103-2271
Phone (314) 269-2310
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417651200000",
"number": "1992844401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1222 SPRUCE STREET",
"address_2": "RM 201.A",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "631032271",
"telephone_number": "314-269-2310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 SPRUCE STREET",
"address_2": "RM 201.A",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63129",
"telephone_number": "314-269-2310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "LACY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "HEALTH SERVICES TECH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2014-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.