Active NPI
James Lucas III, RD
- Registered Dietitian
- New Haven, CT
National Provider Identifier
1124459615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000985
- Practice address
- 167 Old Foxon Road
Unit 30B
New Haven, CT 06513 - Phone
- (203) 376-8271
- NPI assigned
- Dec 9, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 000985 | CT | Primary |
Addresses
Primary practice location
167 Old Foxon Road
Unit 30B
New Haven, CT 06513
Mailing address
167 Old Foxon Road
Unit 30B
New Haven, CT 06513
Phone (203) 376-8271
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000985 | CT | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud Health Medical Group, P.a. | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386547200000",
"number": "1124459615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 OLD FOXON ROAD",
"address_2": "UNIT 30B",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06513",
"telephone_number": "203-376-8271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 OLD FOXON ROAD",
"address_2": "UNIT 30B",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06513",
"telephone_number": "203-376-8271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "JAMES",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-09",
"last_updated": "2013-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "000985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.