Individual provider Active NPI

Nadia Lucas, M.S., CFY-SLP

  • Speech-Language Pathologist
  • Plains TWP, PA
National Provider Identifier
1003217969
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL012038 Issued in PA
Practice address
1555 E End Blvd
Plains TWP, PA 18702-7927
Phone
(570) 826-1011
NPI assigned
Sep 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL012038 PA Primary

Addresses

Primary practice location

1555 E End Blvd
Plains TWP, PA 18702-7927

Mailing address

1555 E End Blvd
Plains TWP, PA 18702-7927
Phone (570) 826-1011

Other identifiers 1

IdentifierTypeStateIssuer
SL012038OtherPALICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250319001770 PA Practitioner - Qualified Speech Language Pathologist 7810419884 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SL012038PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Center Speech-Language Pathologist CurrentSince Feb 14, 2025 Accepting new patients
St. Joseph'S Center PastSince Feb 14, 2025 Accepting new patients

Locations

2010 Adams Ave
Scranton, PA 18509
Phone (570) 342-8379

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1003217969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 E END BLVD",
            "city": "PLAINS TWP",
            "state": "PA",
            "postal_code": "187027927",
            "telephone_number": "570-826-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 E END BLVD",
            "city": "PLAINS TWP",
            "state": "PA",
            "postal_code": "187027927",
            "telephone_number": "570-826-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "NADIA",
        "name_prefix": "Mrs.",
        "credential": "M.S., CFY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL012038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "SL012038",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plains TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.