Individual provider Active NPI

Colleen Lucas, RN

  • Nurse Practitioner
  • Austin, TX
National Provider Identifier
1013406065
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP138801 Issued in TX
Practice address
101 W Koenig LN Ste 100
Austin, TX 78751-1213
Phone
(512) 454-9426
Fax
(512) 454-7294
NPI assigned
May 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 821777 TX
Nurse Practitioner 363L00000X AP138801 TX Primary

Addresses

Primary practice location

101 W Koenig LN Ste 100
Austin, TX 78751-1213

Mailing address

701 N Vista Ridge Blvd Apt 12310
Cedar Park, TX 78613-0024
Phone (512) 905-0229

Other practice location 1

701 N Vista Ridge Blvd Apt 12310
Cedar Park, TX 78613-0024
Phone (512) 905-0229

Other identifiers 1

IdentifierTypeStateIssuer
AP138801OtherTXAPRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
821777TXMDRegistered Nurse
AP138801TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness & Better Health Chiropractic, P.a. CurrentSince Aug 17, 2021 Accepting new patients

Locations

930 S Bell Blvd
Ste 103
Cedar Park, TX 78613
Phone (512) 257-2225

Organizations & group practices 1

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": "1525478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1013406065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N VISTA RIDGE BLVD APT 12310",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786130024",
            "telephone_number": "512-905-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W KOENIG LN STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511213",
            "telephone_number": "512-454-9426",
            "fax_number": "512-454-7294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 N Vista Ridge Blvd Apt 12310",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786130024",
            "country_code": "US",
            "telephone_number": "512-905-0229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "COLLEEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-05",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "821777",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP138801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "AP138801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.