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LACEY KENNON APRN
NPI 1528642014
Nurse Practitioner - Pediatrics in Monroe, LA

Active since May 10, 2021
622 RIVERSIDE DR, MONROE, LA 71201(318) 398-0945 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 15, 2021, May 10, 2021 (2 updates tracked since 2021).

About Lacey Kennon Aprn NPPES

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

LACEY KENNON APRN (NPI 1528642014) is an individual pediatrics provider in Monroe, Louisiana, licensed in Louisiana (213079) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1528642014
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameLACEY KENNONCredential: APRN
Location Address622 RIVERSIDE DRMonroe, LA 71201-6211
Mailing Address622 Riverside DrMonroe, LA 71201-6211
Phone(318) 398-0945
Sole ProprietorNo
Enumeration DateMay 10, 2021
Last NPPES UpdateJune 15, 20212 updates tracked since enumeration
NPPES CertifiedJune 15, 2021
✔ NPI 1528642014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in LA · 213079
622 RIVERSIDE DR, Monroe, LA 71201
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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 Louisiana, HMO Louisiana.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.

TARA WILLIAMSON
Social Worker
622 RIVERSIDE DR
MONROE, LA 71201
Ouachita Parish (318) 398-0945
TAYLOR MULMI
Case Manager/Care Coordinator
622 RIVERSIDE DR
MONROE, LA 71201
Ouachita Parish (318) 398-0945
SHAMMIA WILLIAMS
Counselor
622 RIVERSIDE DR
MONROE, LA 71201
Ouachita Parish (318) 688-8190
SARAH MCKENZIE DAVIS
Counselor (Professional)
622 RIVERSIDE DR
MONROE, LA 71201
Ouachita Parish (318) 398-0945
MRS. KATHERINE ELIZABETH ANTLEY PLPC
Counselor
622 RIVERSIDE DR
MONROE, LA 71201
Ouachita Parish (318) 398-0945
KIRSTIE RAE CROSWELL
Counselor (Professional)
622 RIVERSIDE DR
MONROE, LA 71201
Ouachita Parish (337) 794-6090
LAUREN GRACE TAYLOR
Counselor (Mental Health)
622 RIVERSIDE DR
MONROE, LA 71201
Ouachita Parish (318) 398-0945
APRIL NASH
Case Manager/Care Coordinator
622 RIVERSIDE DR
MONROE, LA 71201
Ouachita Parish (318) 398-0945

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 Lacey Kennon's NPI number?

The NPI number for Lacey Kennon is 1528642014. It was assigned to this individual provider in the NPPES registry on May 10, 2021.

Where is Lacey Kennon located?

Lacey Kennon practices at 622 Riverside Dr, Monroe, LA 71201. The listed phone number is (318) 398-0945.

What is Lacey Kennon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Lacey Kennon accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Lacey Kennon 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 Lacey Kennon was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.