Arlene Lucero

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

1032 Issued in CO

Practice address

1 El Pueblo Ranch Way
Pueblo, CO 81006-2103

Phone

(719) 404-1356

NPI assigned

Mar 11, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• El Pueblo Boys' and Girls' Ranch, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Pueblo, CO
  • NPI 1992858344

  Residential Treatment Facility, Emotionally Disturbed Children

  NPD (past)

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1053704247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9062",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810080062",
            "telephone_number": "719-320-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EL PUEBLO RANCH WAY",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810062103",
            "telephone_number": "719-404-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "ARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CO",
            "license": "1032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Y Lu, M.D.
• Andrae C Lucas, MS CCCA
• Kathryn Amelia Lucas, DO
• Dante Lucci, DPT
• Adrianna Marie Lucero
• Bobby Lucero
• Christopher Lucero
• Christopher Lawrance Lucero Jr.
• Jennifer Lucero
• Joseph Lucero

• Emotionally Disturbed Childrens' Residential Treatment Facility in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.