| Lacie Dawn Marable, CNM, NP-C | |
|
5511 Virginia Way, Ste 300, Brentwood, TN 37027-7611 | |
| (615) 994-1000 | |
| (615) 994-0100 |
| Full Name | Lacie Dawn Marable |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5511 Virginia Way, Brentwood, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053661587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 20758 (Tennessee) | Primary |
| Entity Name | Ut Regional One Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093130585 PECOS PAC ID: 5698993418 Enrollment ID: O20140820000662 |
| Entity Name | National Addiction Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477186336 PECOS PAC ID: 1254709959 Enrollment ID: O20221130003665 |
| Mailing Address | Practice Location Address |
|---|---|
| Lacie Dawn Marable, CNM, NP-C 5511 Virginia Way, Ste 300, Brentwood, TN 37027-7611 Ph: (615) 994-1000 | Lacie Dawn Marable, CNM, NP-C 5511 Virginia Way, Ste 300, Brentwood, TN 37027-7611 Ph: (615) 994-1000 |
Ms. Rose B Vick, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5300 Maryland Way, Suite 103, Brentwood, TN 37027 Phone: 615-224-9800 Fax: 615-224-9840 | |
Jaclyn R Miscovich, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1642 Westgate Cir Ste 202, Brentwood, TN 37027 Phone: 615-941-8550 | |
Ms. Lakesha Monique Goodwin, AGPCNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5511 Virginia Way, Ste 300, Brentwood, TN 37027 Phone: 615-994-1000 Fax: 615-994-0100 | |
Claudia Cortez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Heritage Way, Brentwood, TN 37027 Phone: 615-564-4953 | |
Sufeia Yosuf Durani, AGACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8339 Rossi Rd, Brentwood, TN 37027 Phone: 615-887-0982 | |
Carol Lehman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8 Cadillac Dr, Suite 250, Brentwood, TN 37027 Phone: 615-425-4287 | |
Mrs. Melody Laine Draper, RN, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1208 Choctaw Trl, Brentwood, TN 37027 Phone: 615-645-3031 Fax: 615-678-5676 |