Community Advancement Project

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704237090 Issued in MI

Legal business name

COMMUNITY ADVANCEMENT PROJECT

Doing business as

Community Advancement

Practice address

4215 W Pasadena Ave
Suite 2
Flint, MI 48504-2342

Phone

(616) 301-1020

NPI assigned

May 14, 2013

Last updated

May 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa M Lucas, APRN-BC, NPNPI 1275839615

Title

Director

Phone

(616) 301-1020

Specialties & licenses 2

Addresses

Other names 1

• Community Advancement Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa M. Lucas, APRN-BC, NP

  • Adult Health Nurse Practitioner
  • Flint, MI
  • NPI 1275839615
  Authorized official Same address or phone

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1134565336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 W PASADENA AVE",
            "address_2": "SUITE 2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485042342",
            "telephone_number": "616-301-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 W PASADENA AVE",
            "address_2": "SUITE 2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485042342",
            "telephone_number": "616-301-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ADVANCEMENT PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "616-301-1020",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN-BC, NP"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704237090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Advancement",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Health Nurse Practitioner in Flint, MI
• Providers in Flint, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.