Rosaland Rochelle Lacy-Taylor, FNP-BC
Nurse Practitioner, Family in Porter, TX. Individual provider (NPI-1).
NPI number1699008482
StatusActive
Last updated in NPPESJul 10, 2015
Details
- NPI
- 1699008482
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Rosaland Rochelle Lacy-Taylor
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 10, 2009
- Last updated
- Jul 10, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP117065 | TX | Yes |
Practice location
23736 Highway 59Ste. 104
Porter, TX 77365-4634
Phone 281-354-1133
Mailing address
23736 Highway 59Ste. 104
Porter, TX 77365-4634
Phone 281-354-1133
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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