LACEY BEARD MIXON CRNP
NPI 1295218774
Nurse Practitioner in Dothan, AL

Q: What is Lacey Mixon's NPI number?

The NPI number for Lacey Mixon is 1295218774. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Q: What is Lacey Mixon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lacey Mixon was last updated on September 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 September 11, 2018

1781 E COTTONWOOD RD, DOTHAN, AL 36301(334) 678-5851(334) 678-2803 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lacey Beard Mixon Crnp NPPES

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

LACEY BEARD MIXON CRNP (NPI 1295218774) is an individual nurse practitioner in Dothan, Alabama, licensed in Alabama (1-37700) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1295218774

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLACEY BEARD MIXONCredential: CRNP

Location Address1781 E COTTONWOOD RDDothan, AL 36301-5309

Mailing Address201 Monroe St Ste 1600Montgomery, AL 36104-3721 · (334) 206-9344 · Fax (334) 206-3715

Phone(334) 678-5851

Fax(334) 678-2803

Sole ProprietorNo

Enumeration DateSeptember 11, 2018

✔ NPI 1295218774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AL · 1-37700

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1781 E COTTONWOOD RD, Dothan, AL 36301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

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.

STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH

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