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

Lacie L. Roddy, FNP-BCRM

Individual provider Urology Registered Nurse · NPI 1629425715

Lacie L. Roddy, FNP-BCRM is a Nurse Practitioner in Chattanooga, Tennessee. Graduated from East Tennessee State University Quillen College of Medicine in 2014, 12 years ago. Practices with Memorial Health Partners Foundation Inc, a 458-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
12
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
TN
In the registry since
2016
Specialties on file
2

Practice location Address checks out

1300 Cleveland Ave
Chattanooga, TN 37404-2005
Phone: (423) 756-7860
Fax: (423) 756-9137
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 20829 (TN)
Urology Registered Nurse Taxonomy 163WU0100X · Licence APN20829 (TN)

Record details

NPI number1629425715
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BCRM
Sole proprietorNo
NPI enumeratedMay 18, 2016
Last updated in NPPESMarch 13, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Memorial Health Partners Foundation Inc — 458 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare