Active NPI
Suzanne Lucas, L.AC.
- Acupuncturist
- Phoenix, AZ
National Provider Identifier
1003002957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0192
- Practice address
- 12821 N Cave Creek Rd
Suite 101
Phoenix, AZ 85022-5862 - Phone
- (602) 404-8483
- Fax
- (602) 493-2246
- NPI assigned
- Sep 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 0192 | AZ | Primary |
Addresses
Primary practice location
12821 N Cave Creek Rd
Suite 101
Phoenix, AZ 85022-5862
Mailing address
12821 N Cave Creek Rd
Suite 101
Phoenix, AZ 85022-5862
Phone (602) 404-8483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0192 | AZ | MD | Neurorehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190592000000",
"number": "1003002957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12821 N CAVE CREEK RD",
"address_2": "SUITE 101",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850225862",
"telephone_number": "602-404-8483",
"fax_number": "602-493-2246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12821 N CAVE CREEK RD",
"address_2": "SUITE 101",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850225862",
"telephone_number": "602-404-8483",
"fax_number": "602-493-2246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "SUZANNE",
"name_prefix": "Ms.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-24",
"last_updated": "2007-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "AZ",
"license": "0192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.