LACEY SHIFFLETT
NPI 1366817157
Student in an Organized Health Care Education/Training Program in Covington, VA

Active since December 05, 2015
307 SPRINGWATER RD, COVINGTON, VA 24426(540) 968-6199 Get Directions Write a Review

NPPES record last updated: December 5, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lacey Shifflett NPPES

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

LACEY SHIFFLETT (NPI 1366817157) is an individual student in an organized health care education/training program in Covington, Virginia and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1366817157
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLACEY SHIFFLETT
Location Address307 SPRINGWATER RDCovington, VA 24426-5716
Mailing Address307 Springwater RdCovington, VA 24426-5716 · (540) 968-6199
Sole ProprietorNo
Enumeration DateDecember 5, 2015
NPI 1366817157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
307 SPRINGWATER RD, Covington, VA 24426

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366817157, enumerated as an "individual" on December 05, 2015.

The provider is located at 307 SPRINGWATER RD COVINGTON, VA 24426 and the phone number is (540) 968-6199.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.