Basic Information
| Provider Information | |||||||||
| NPI: | 1477901866 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | O'STEEN | ||||||||
| FirstName: | LACINDA | ||||||||
| MiddleName: | LOU | ||||||||
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| Credential: | ARNP FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2465 US 1 S | ||||||||
| Address2: | |||||||||
| City: | ST AUGUSTINE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 320866076 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3869657066 | ||||||||
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| Practice Location | |||||||||
| Address1: | 45 DIMOCK ST | ||||||||
| Address2: | |||||||||
| City: | ROXBURY | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021191208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6174428800 | ||||||||
| FaxNumber: | 6175418472 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/26/2016 | ||||||||
| LastUpdateDate: | 04/20/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 04/20/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WA2000X | RN2159272 | FL | N | Nursing Service Providers | Registered Nurse | Administrator | 163WC0400X | RN2159272 | FL | N | Nursing Service Providers | Registered Nurse | Case Management | 163WC1600X | RN2159272 | FL | N | Nursing Service Providers | Registered Nurse | Continuing Education/Staff Development | 163WD0400X | RN2159272 | FL | N | Nursing Service Providers | Registered Nurse | Diabetes Educator | 163WH0200X | RN2159272 | FL | N | Nursing Service Providers | Registered Nurse | Home Health | 163WH1000X | RN2159272 | NC | N | Nursing Service Providers | Registered Nurse | Hospice | 163WI0600X | RN2159272 | FL | N | Nursing Service Providers | Registered Nurse | Infection Control | 163WM0705X | RN2159272 | FL | N | Nursing Service Providers | Registered Nurse | Medical-Surgical | 163WP0808X | RN2159272 | FL | N | Nursing Service Providers | Registered Nurse | Psych/Mental Health | 174H00000X | FL | N | Other Service Providers | Health Educator | 3104A0630X | RN2159272 | FL | N | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Behavioral Disturbances | 363LF0000X | RN2313010 | MA | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363LW0102X | A4M | FL | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Women's Health | 363LF0000X | ARNP2159272 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | P01801192 | 01 | FL | RR MEDICARE | OTHER |