Active NPI
Kimberly Anne Lucas Slimane, N.P.
- Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP118333
- Practice address
- 21 Spurs LN Ste 230B
San Antonio, TX 78240-1671 - Phone
- (210) 690-7400
- Fax
- (210) 690-7405
- NPI assigned
- Jun 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 707989 | TX | |
| Nurse Practitioner | 363L00000X | AP118333 | TX | Primary |
Addresses
Primary practice location
21 Spurs LN Ste 230B
San Antonio, TX 78240-1671
Mailing address
21 Spurs LN
Ste 230B
San Antonio, TX 78240-1671
Phone (210) 690-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 296559201 | Medicaid | TX |
Other names 1
- Ms. Kimberly Anne Lucas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP118333 | TX | MD | Nurse Practitioner |
| 707989 | TX | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles J. Burch, M.D., P.a. | Current | Accepting new patients | |
| Texas Ips LLC | Current | Accepting new patients |
Locations
34910 Interstate 10 W
Boerne, TX 78006
Phone (210) 396-7609
34910 Interstate 10 W
Ste 601
Boerne, TX 78006
Phone (830) 248-1207
1434 E Sonterra Blvd
Ste 210
San Antonio, TX 78258
Phone (210) 481-3119
12446 West Ave
Ste 200
San Antonio, TX 78216
Phone (210) 690-0230
21 Spurs Ln
Ste 230B
San Antonio, TX 78240
4499 Medical Dr
Ste 150
San Antonio, TX 78229
Phone (210) 614-8181
4458 Medical Dr
Ste 505
San Antonio, TX 78229
4499 Medical Dr
#150
San Antonio, TX 78229
Phone (210) 614-8181
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DCJJCA/Endpoint/DCJJCA
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- San Antonio, TX
- NPI 1588843239
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- Pulmonary Disease Physician
- San Antonio, TX
- NPI 1629368535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438128000000",
"number": "1003042573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 SPURS LN",
"address_2": "STE 230B",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401671",
"telephone_number": "210-690-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 SPURS LN STE 230B",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401671",
"telephone_number": "210-690-7400",
"fax_number": "210-690-7405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS SLIMANE",
"first_name": "KIMBERLY",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-10",
"last_updated": "2015-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "707989",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP118333",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "296559201",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "LUCAS",
"middle_name": "ANNE",
"prefix": "MS.",
"credential": "N.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.