Individual provider Active NPI

Webster Luccin

  • Driver
  • Palm Springs, FL
National Provider Identifier
1083212872
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Practice address
4175 S Congress Ave Ste B
Palm Springs, FL 33461-4725
Phone
(561) 577-1293
NPI assigned
Oct 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X Primary

Addresses

Primary practice location

4175 S Congress Ave Ste B
Palm Springs, FL 33461-4725

Mailing address

4175 S Congress Ave Ste B
Palm Springs, FL 33461-4725
Phone (561) 577-1293

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 509TRANSPORTATION@GMAIL.COM Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
LMS Transportation Driver CurrentSince Mar 27, 2022 Accepting new patients

Locations

4175 S Congress Ave
Ste B
Palm Springs, FL 33461
Phone (561) 577-1293

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": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1083212872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 S CONGRESS AVE STE B",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334614725",
            "telephone_number": "561-577-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 S CONGRESS AVE STE B",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334614725",
            "telephone_number": "561-577-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCCIN",
        "first_name": "WEBSTER",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "509TRANSPORTATION@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL ADRESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4175 S Congress Ave Ste B",
            "city": "Palm Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334614725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.