CATHERINE TALBOT LACKIE FNP
NPI 1629309463
Nurse Practitioner - Family in Memphis, TN

Q: What is Catherine Lackie's NPI number?

The NPI number for Catherine Lackie is 1629309463. It was assigned to this individual provider in the NPPES registry on January 19, 2010. The provider is also known as Catherine Page Talbot Fnp.

Q: What is Catherine Lackie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Catherine Lackie was last updated on March 18, 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.

Active since January 19, 2010PECOS EnrolledAccepts Medicare Assignment

6286 BRIARCREST AVE STE 200, MEMPHIS, TN 38120(901) 641-3000(901) 259-1698 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2021, Jun 20, 2019 (2 updates tracked since 2019).

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About Catherine Talbot Lackie Fnp NPPES

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

CATHERINE TALBOT LACKIE FNP (NPI 1629309463) is an individual family provider in Memphis, Tennessee, licensed in Tennessee (14930) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital, and maintains a secondary practice location in Germantown.

NPPES Registry Identity

NPI1629309463

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCATHERINE TALBOT LACKIECredential: FNP

Location Address6286 BRIARCREST AVE STE 200Memphis, TN 38120-4023

Mailing Address6077 Primacy Pkwy Ste 140Memphis, TN 38119-5742 · (901) 725-8347 · Fax (901) 259-7637

Phone(901) 641-3000

Fax(901) 259-1698

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJanuary 19, 2010

Last NPPES UpdateMarch 18, 20212 updates tracked since enumeration

NPPES CertifiedMarch 18, 2021

✔ NPI 1629309463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 14930

Also ListedRegistered NurseTaxonomy 163W00000X · License 168742 (TN)

6286 BRIARCREST AVE STE 200, Memphis, TN 38120

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Other Names 1

Former Name (1)Catherine Page Talbot Fnp

Secondary Practice Location 1

Location 12100 Exeter Rd Ste 200Germantown, TN 38138-3966 · Phone (901) 641-3000 · Fax (901) 373-3804

Other Identifiers 7

Medicaid3371161TN

Other620819926TN · Aetna

Other4306810TN · Bcbs Tn

Other620819926MS · Bcbs Ms

Medicaid110318002AR

Medicaid7187860MS

Other9337653TN · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Catherine Talbot Lackie Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113041484

PECOS Enrollment IDI20100824000845, I20161215000171

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440048

Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

PRECIOUS ERICA CUNNINGHAM FNP-C

Nurse Practitioner (Family)