ALEXA LILLIAN LACY MD
NPI 1073369385
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Q: What is Alexa Lacy's NPI number?

The NPI number for Alexa Lacy is 1073369385. It was assigned to this individual provider in the NPPES registry on April 26, 2024.

Q: What is Alexa Lacy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Alexa Lacy was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 26, 2024PECOS Enrolled

131 MILLER ST, WINSTON SALEM, NC 27103(336) 716-4161 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Alexa Lillian Lacy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXA LILLIAN LACY MD (NPI 1073369385) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073369385

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameALEXA LILLIAN LACYCredential: MD

Location Address131 MILLER STWinston Salem, NC 27103-2508

Mailing AddressOne Medical Center BlvdWinston Salem, NC 27157-0001 · (336) 716-4161

Phone(336) 716-4161

Sole ProprietorYes

Enumeration DateApril 26, 2024

NPPES CertifiedApril 26, 2024

✔ NPI 1073369385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

131 MILLER ST, Winston Salem, NC 27103

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexa Lillian Lacy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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