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LACEY FUNAIR MS,RDN,CDCES,BC-ADM
NPI 1811664915
Dietitian, Registered in Zelienople, PA

Active since August 26, 2021
405 HAZEL ST, ZELIENOPLE, PA 16063(724) 900-9075(724) 382-7709 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 19, 2024, Jun 15, 2023, May 6, 2023 and 1 more (4 updates tracked since 2021).

About Lacey Funair Ms,rdn,cdces,bc-adm NPPES

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

LACEY FUNAIR MS,RDN,CDCES,BC-ADM (NPI 1811664915) is an individual dietitian, registered in Zelienople, Pennsylvania, licensed in Pennsylvania (DN005678) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1811664915
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameLACEY FUNAIRCredential: MS,RDN,CDCES,BC-ADM
Location Address405 HAZEL STZelienople, PA 16063-1016
Mailing Address405 Hazel StZelienople, PA 16063-1016 · (724) 900-9075 · Fax (724) 382-7709
Phone(724) 900-9075
Fax(724) 382-7709
Sole ProprietorNo
Enumeration DateAugust 26, 2021
Last NPPES UpdateJune 19, 20244 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
✔ NPI 1811664915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in PA · DN005678
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Also ListedSpecialistTaxonomy 174400000X · License CBDCE22200462, BCADM200914796
Also ListedHealth EducatorTaxonomy 174H00000X
405 HAZEL ST, Zelienople, PA 16063
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Other Identifiers 1

Medicaid1039464260002PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lacey Funair Ms,rdn,cdces,bc-adm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Lacey Funair reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diabetes Fundamentals LLC
Same address
Dietitian, Registered
405 HAZEL ST
Zelienople, PA 16063
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1568147874 (724) 900-9075

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIABETES FUNDAMENTALS LLC
Dietitian, Registered
405 HAZEL ST
ZELIENOPLE, PA 16063
Butler County (724) 900-9075

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 Funair's NPI number?

The NPI number for Lacey Funair is 1811664915. It was assigned to this individual provider in the NPPES registry on August 26, 2021.

Where is Lacey Funair located?

Lacey Funair practices at 405 Hazel St, Zelienople, PA 16063. The listed phone number is (724) 900-9075.

What is Lacey Funair's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Lacey Funair enrolled in Medicare?

Yes. Lacey Funair is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lacey Funair's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacey Funair reassigns Medicare benefits to Diabetes Fundamentals LLC (Zelienople, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lacey Funair's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lacey Funair was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.