Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heather Taylor Lackey, NP

Individual provider Registered Nurse · NPI 1023673993

Heather Taylor Lackey, NP is a Nurse Practitioner in Raleigh, North Carolina. Qualified in 2019, 7 years ago. Practices with Physicians Eldercare PA, a 228-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

2920 Forestville Rd Ste 100
Raleigh, NC 27616-8774
Phone: (860) 882-7525
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5011876 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 169725 (NC)

Record details

NPI number1023673993
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 7, 2019
Last updated in NPPESFebruary 1, 2023
Certification dateFebruary 1, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Physicians Eldercare Pa — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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