Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KAILEE LACKEY RN
NPI 1104731876
Registered Nurse in Lacey, WA

Q: What is Kailee Lackey's NPI number?

The NPI number for Kailee Lackey is 1104731876. It was assigned to this individual provider in the NPPES registry on August 17, 2026.

Q: What is Kailee Lackey's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kailee Lackey was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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 August 17, 2026

1450 NORTHWEST LN SE STE A, LACEY, WA 98503(360) 491-4460(360) 491-3090 Get Directions Write a Review

NPPES record added: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kailee Lackey Rn NPPES

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

KAILEE LACKEY RN (NPI 1104731876) is an individual registered nurse in Lacey, Washington, licensed in North Carolina (340930) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1104731876

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameKAILEE LACKEYCredential: RN

Location Address1450 NORTHWEST LN SE STE ALacey, WA 98503-6908

Mailing Address3128 Ponderosa St Ne Unit BLacey, WA 98516-6803 · (910) 635-5221

Phone(360) 491-4460

Fax(360) 491-3090

Sole ProprietorNo

Enumeration DateAugust 17, 2026

NPPES CertifiedAugust 17, 2026

✔ NPI 1104731876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in NC · 340930

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

1450 NORTHWEST LN SE STE A, Lacey, WA 98503

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Other Providers at the Same Location NPPES 11

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

JODI FISCHER ARNP

Nurse Practitioner