LACY JAE WADE
NPI 1669972360
Licensed Vocational Nurse in Diboll, TX

Q: What is Lacy Wade's NPI number?

The NPI number for Lacy Wade is 1669972360. It was assigned to this individual provider in the NPPES registry on February 19, 2018.

Q: What is Lacy Wade's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Lacy Wade was last updated on February 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 February 19, 2018

3457 FM 819, DIBOLL, TX 75941(936) 239-6055 Get Directions Write a Review

NPPES record last updated: February 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lacy Jae Wade NPPES

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

LACY JAE WADE (NPI 1669972360) is an individual licensed vocational nurse in Diboll, Texas, licensed in Texas (233648) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1669972360

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameLACY JAE WADE

Location Address3457 FM 819Diboll, TX 75941-4707

Mailing Address3457 Fm 819Diboll, TX 75941-4707

Phone(936) 239-6055

Sole ProprietorNo

Enumeration DateFebruary 19, 2018

✔ NPI 1669972360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in TX · 233648

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

3457 FM 819, Diboll, TX 75941

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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 Lacy Wade's NPI number?

The NPI number for Lacy Wade is 1669972360. It was assigned to this individual provider in the NPPES registry on February 19, 2018.

Where is Lacy Wade located?

Lacy Wade practices at 3457 Fm 819, Diboll, TX 75941. The listed phone number is (936) 239-6055.

What is Lacy Wade's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Lacy Wade was last updated on February 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.