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

Laceyanne Thomas

Individual provider Registered Nurse · NPI 1124814249

Laceyanne Thomas is a Nurse Practitioner in Astoria, New York. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

2638 28th St
Astoria, NY 11102-2044
Phone: (718) 509-9345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence F356932-01 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 754614 (NY)

Record details

NPI number1124814249
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 16, 2025
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025
Mailing address65 Belknap Ave, Yonkers, NY 10710-5403

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Astoria