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ANDREA LACEY
NPI 1174123202
Speech-Language Pathologist in Puyallup, WA

Active since October 28, 2020
17615 85TH AVENUE CT E, PUYALLUP, WA 98375(253) 216-2589 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2024, Oct 28, 2020 (2 updates tracked since 2020).

About Andrea Lacey NPPES

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

ANDREA LACEY (NPI 1174123202) is an individual speech-language pathologist provider in Puyallup, Washington, licensed in New Jersey (1162520) and active in the NPI registry since October 2020. She maintains 2 additional practice locations and is a graduate of Other (2020).

NPPES Registry Identity

NPI1174123202
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameANDREA LACEY
Location Address17615 85TH AVENUE CT EPuyallup, WA 98375-1902
Mailing Address17615 85th Avenue Ct EPuyallup, WA 98375-1902 · (253) 216-2589
Phone(253) 216-2589
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 28, 2020
Last NPPES UpdateApril 12, 20242 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
✔ NPI 1174123202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NJ · 1162520
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
17615 85TH AVENUE CT E, Puyallup, WA 98375
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Secondary Practice Locations 2

Location 11 Bethany Rd Ste 60Hazlet, NJ 07730-1667 · Phone (732) 888-3912 · Fax (732) 888-3916
Location 2120 E River RdRumson, NJ 07760-1631 · Phone (732) 888-3912 · Fax (732) 888-3916

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Lacey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305332180
PECOS Enrollment IDI20251231001685

Other Providers at the Same Location NPPES 7

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

MARISSA JOHNSON MOT, OTR/L
Occupational Therapist
17615 85TH AVENUE CT E
PUYALLUP, WA 98375
Pierce County (253) 216-2589
DR. JEFFREY L HOLMES D.C.
Chiropractor (Orthopedic)
17615 85TH AVENUE CT E
PUYALLUP, WA 98375
Pierce County (253) 848-6603
CARISSA VANCE
Massage Therapist
17615 85TH AVENUE CT E
PUYALLUP, WA 98375
Pierce County (253) 848-6603
NORTHWEST FAMILY CHIROPRACTIC PC
Chiropractor
17615 85TH AVENUE CT E
PUYALLUP, WA 98375
Pierce County (253) 848-6603
DR. DANIEL JACOB TOLSON M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
17615 85TH AVENUE CT E
PUYALLUP, WA 98375
Pierce County (425) 998-7529
MCKENNA ANNE JOHNSON OTR/L
Occupational Therapist
17615 85TH AVENUE CT E
PUYALLUP, WA 98375
Pierce County (253) 216-2589
LITTLE FIN THERAPIES, LLC
Clinic/Center (Developmental Disabilities)
17615 85TH AVENUE CT E
PUYALLUP, WA 98375
Pierce County (253) 216-2589

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Lacey's NPI number?

The NPI number for Andrea Lacey is 1174123202. It was assigned to this individual provider in the NPPES registry on October 28, 2020.

Where is Andrea Lacey located?

Andrea Lacey practices at 17615 85th Avenue Ct E, Puyallup, WA 98375. The listed phone number is (253) 216-2589.

What is Andrea Lacey's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Andrea Lacey enrolled in Medicare?

Yes. Andrea Lacey is registered in the Medicare PECOS enrollment system.

What insurance does Andrea Lacey accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Andrea Lacey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrea Lacey was last updated on April 12, 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.