Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578001855 Individual Practitioner Female Practitioner

Lacey N Wilson

Licensed Practical Nurse • Marietta, OH

Professional Overview & Biography Verified Profile Summary

Lacey Wilson is a registered healthcare professional specializing in Licensed Practical Nurse in Marietta, OH. Practice services are available at 701 HILDRETH LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

701 Hildreth Ln

Marietta, OH 457501768

Telephone 7403717194
Associated Practice Facility / Clinic
🏢 Tony L Byler Md Llc Facility NPI 1407072481

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Marietta, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
45 Specialists

Practicing in Marietta, OH (13034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-05-10
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH LPN.126395.MEDS-IV

An individual 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OH 166983

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Kianna Mayle

Case Manager/Care Coordinator

NPI 1043944960
Kia Allen

Case Manager/Care Coordinator

NPI 1235003294
Deborah Gilmore

Licensed Practical Nurse

NPI 1295401891
Maria Wiblin

Counselor

NPI 1366280836
Mickayla Gibson , LPN

Licensed Practical Nurse

NPI 1609603265

Licensed Practical Nurse

Abby Hearn

Case Manager/Care Coordinator

NPI 1649712860

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location May 10, 2024

Registered at 701 HILDRETH LN, MARIETTA, OH 457501768 (Tel: 7403717194)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2024

Counselor (License #166983 in OH)

📍
Updated Practice Location February 22, 2021

Registered at 207D COLEGATE DR, MARIETTA, OH 457502363 (Tel: 7403760930)

📍
Updated Business Mailing Address February 22, 2021

Registered at 207D COLEGATE DR, MARIETTA, OH 457502363 (Tel: 7403760930)

👤
Provider Name / Credentials Updated February 22, 2021

Recorded as LACEY WILSON

NPI Profile Active February 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 07, 2017

Registered at 418 COLEGATE DR, MARIETTA, OH 457509549 (Tel: 7403748730)

📍
Updated Business Mailing Address February 07, 2017

Registered at 418 COLEGATE DR, MARIETTA, OH 457509549 (Tel: 7403748730)

👤
Provider Name / Credentials Updated February 07, 2017

Recorded as LACEY WILSON, L.P.N.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2017

Licensed Practical Nurse (License #LPN.126395.MEDS-IV in OH)

🟢
Initial NPI Registration & Enumeration February 07, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578001855
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2017
Last Update: May 10, 2024
Sole Proprietor: No

Mailing Address

207d Colegate Dr

Marietta, OH 457502363

Phone: 7403760930

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.