STEPHANIE REGAN LACEY DO
NPI 1992741342
Pediatrics - Pediatric Cardiology in Jacksonville, FL

Active since June 22, 2006PECOS Enrolled
841 PRUDENTIAL DR, UFJP PEDIATRIC CARDIOLOGY, JACKSONVILLE, FL 32207(904) 493-1610(904) 493-2363 Get Directions Write a Review

NPPES record last updated: April 23, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Stephanie Regan Lacey Do NPPES

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

STEPHANIE REGAN LACEY DO (NPI 1992741342) is an individual pediatric cardiology provider in Jacksonville, Florida, licensed in Florida (OS9818) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992741342
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameSTEPHANIE REGAN LACEYCredential: DO
Location Address841 PRUDENTIAL DR, UFJP PEDIATRIC CARDIOLOGYJacksonville, FL 32207-8329
Mailing AddressPo Box 44008, Ufjp Provider EnrollmentJacksonville, FL 32231-4008
Fax(904) 493-2363
Sole ProprietorNo
Enumeration DateJune 22, 2006
Last NPPES UpdateApril 23, 2010
NPI 1992741342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License Licensed in FL · OS9818
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License OS9818 (FL)
841 PRUDENTIAL DR, Jacksonville, FL 32207

Other Identifiers 7

Medicare PINP00800888FL
Medicare PINU7900ZFL
Medicare PINU7900Y
Medicaid2759861-00FL
Medicaid109704014AGA
Medicaid275986100FL
Medicare UPINI58034FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stephanie Regan Lacey Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Pediatrics (Child Abuse Pediatrics)
841 PRUDENTIAL DR, SUITE 1130
JACKSONVILLE, FL 32207
Student in an Organized Health Care Education/Training Program
841 PRUDENTIAL DR, SUITE 1130
JACKSONVILLE, FL 32207
Pediatrics
841 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Dietitian, Registered
841 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Pediatrics
841 PRUDENTIAL DR, SUITE 1330
JACKSONVILLE, FL 32207
Emergency Medicine (Pediatric Emergency Medicine)
841 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Nurse Practitioner
841 PRUDENTIAL DR, 10TH FLOOR
JACKSONVILLE, FL 32207
Medical Genetics (Clinical Genetics (M.D.))
841 PRUDENTIAL DR
JACKSONVILLE, FL 32207

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 Stephanie Lacey's NPI number?

The NPI number for Stephanie Lacey is 1992741342. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Stephanie Lacey located?

Stephanie Lacey practices at 841 Prudential Dr Ufjp Pediatric Cardiology, Jacksonville, FL 32207. The listed phone number is (904) 493-1610.

What is Stephanie Lacey's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Stephanie Lacey enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stephanie Lacey was last updated on April 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.