Kim Lackey, DNP, APRN, AGPCNP-BC
NPI 1699241752 · Primary Care Nurse Practitioner · Matthews, NC
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kim Lackey, DNP, APRN, AGPCNP-BC is a Primary Care Nurse Practitioner provider in Matthews, NC (NPI 1699241752).
Provider details
- NPI number
- 1699241752
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, APRN, AGPCNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 5011316 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-10-16
- Last updated
- 2026-02-26
- Certified
- 2026-02-26
Frequently asked questions
- What is Kim Lackey's NPI number?
- Kim Lackey's National Provider Identifier (NPI) is 1699241752, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kim Lackey's specialty?
- Kim Lackey is listed in the NPPES registry with a primary specialty of Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kim Lackey located?
- Kim Lackey's practice location on file with NPPES is 434 N Trade St Ste 104, Matthews, NC 28105-1865.
- What is Kim Lackey's phone number?
- The practice phone number listed in the NPPES registry for Kim Lackey is (704) 246-3936.
- Does Kim Lackey accept Medicare?
- Kim Lackey is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kim Lackey's NPI active?
- Yes — Kim Lackey's NPI (1699241752) is active in the NPPES registry as of the last update on 2026-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.