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KACIE LACKEY
NPI 1205793767
Student in an Organized Health Care Education/Training Program in Gardena, CA

Active since January 07, 2026
879 W 190TH ST STE 350, GARDENA, CA 90248(310) 323-6887 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kacie Lackey NPPES

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

KACIE LACKEY (NPI 1205793767) is an individual student in an organized health care education/training program in Gardena, California and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1205793767
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKACIE LACKEY
Location Address879 W 190TH ST STE 350Gardena, CA 90248-4262
Mailing Address879 W 190th St Ste 350Gardena, CA 90248-4262 · (310) 323-6887
Phone(310) 323-6887
Sole ProprietorNo
Enumeration DateJanuary 7, 2026
NPPES CertifiedJanuary 7, 2026
✔ NPI 1205793767 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.
879 W 190TH ST STE 350, Gardena, CA 90248
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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.

JOESSA SMITH
Marriage & Family Therapist
879 W 190TH ST STE 350
GARDENA, CA 90248
Los Angeles County (310) 323-6887
KARA SERAFIN
Student in an Organized Health Care Education/Training Program
879 W 190TH ST STE 350
GARDENA, CA 90248
Los Angeles County (310) 323-6887
MAYRA VIRGEN
Social Worker (Clinical)
879 W 190TH ST STE 350
GARDENA, CA 90248
Los Angeles County (310) 323-6887
DIANA ROBLES HONORATO
Occupational Therapist
879 W 190TH ST STE 350
GARDENA, CA 90248
Los Angeles County (310) 323-6887
CLAUDIA SANCHEZ
Student in an Organized Health Care Education/Training Program
879 W 190TH ST STE 350
GARDENA, CA 90248
Los Angeles County (310) 323-6887
CHLOE ADAMS
Community Health Worker
879 W 190TH ST STE 350
GARDENA, CA 90248
Los Angeles County (310) 323-6887
JESSICA DESTINY JONES
Student in an Organized Health Care Education/Training Program
879 W 190TH ST STE 350
GARDENA, CA 90248
Los Angeles County (310) 323-6887
ROSHINI GAMMANPILA NONE
Student in an Organized Health Care Education/Training Program
879 W 190TH ST STE 350
GARDENA, CA 90248
Los Angeles County (310) 323-6887

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 Kacie Lackey's NPI number?

The NPI number for Kacie Lackey is 1205793767. It was assigned to this individual provider in the NPPES registry on January 7, 2026.

Where is Kacie Lackey located?

Kacie Lackey practices at 879 W 190th St Ste 350, Gardena, CA 90248. The listed phone number is (310) 323-6887.

What is Kacie Lackey's specialty?

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

When was this NPI record last updated?

The NPPES record for Kacie Lackey was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.