Individual Healthcare Provider
Amanda Lackaye, DNP, CRNA
Provider's NPPES record last updated: October 7, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1023669272
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Practice Location
- Plantation, Florida
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 1:47 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Anesthetist, Certified Registered
Physician Assistants & Advanced Practice Nursing Providers
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Taxonomy code 367500000X
Provider-Reported License Information
- Nurse Anesthetist, Certified Registered (Florida)
- 128712
- Nurse Anesthetist, Certified Registered (North Carolina)
- 6512
Practice Locations
Practice Location
7700 W Sunrise Blvd
Plantation, Florida 33322-4113
Phone: (954) 939-5409
Additional Practice Location
1320 S Dixie Hwy
Coral Gables, Florida 33146-2926
Phone: (305) 284-2211
Additional Practice Location
Medical Center Blvd
Winston Salem, North Carolina 27157-0001
Phone: (336) 716-9252
Record Information
- Enumeration Date
- September 27, 2019
- Provider's NPPES Record Last Updated
- October 7, 2025
- Certification Date
- October 7, 2025
- NPISignal NPPES Dataset
- August 2026
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