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

Lacey Nicolau, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1518778752

Lacey Nicolau, FNP-BC is a Nurse Practitioner in Johnson City, Tennessee. Qualified in 2024, 2 years ago. Practices with Health Providers of America LLC, a 97-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
2
Licensed in
TN, VA
In the registry since
2025
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

3209 Bristol Hwy
Johnson City, TN 37601
Phone: (423) 282-3311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2300 Pavilion Dr, Kingsport, TN 37660 — (423) 765-9655
  • 245 North St, Bristol, VA 24201 — (276) 669-4711
  • 18765 Riverside Dr, Vansant, VA 24656-0924 — (276) 935-2880

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 37991 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024192442 (VA)

Record details

NPI number1518778752
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedJanuary 16, 2025
Last updated in NPPESApril 13, 2025
Certification dateApril 13, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Health Providers Of America Llc — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Johnson City