Trinh Nikki Ly-Lucas

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN2266772 Issued in MA

Practice address

325 Washington St
East Walpole, MA 02032-1154

Phone

(857) 205-2976

NPI assigned

Mar 24, 2016

Last updated

Mar 24, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1184086555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 WASHINGTON ST",
            "city": "EAST WALPOLE",
            "state": "MA",
            "postal_code": "020321154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 WASHINGTON ST",
            "city": "EAST WALPOLE",
            "state": "MA",
            "postal_code": "020321154",
            "telephone_number": "857-205-2976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY-LUCAS",
        "first_name": "TRINH NIKKI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2266772",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2266772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine J Hinds, LCMT
• Hemant Hora, M.D.
• Jebediah S Christy DDS - Walpole PC (Aspen Denta)
• Fiona Debra Johansmeyer, PA
• Vamsi Kalepu, DMD
• Margarette A Mikkola, LICSW
• Sarah M Norton, M.S. CCC-SLP
• Origem Doulas LLC
• Tulsi Gautam Patel, RN
• Gretchen Davidson Platt, PA-C

• Nurse Practitioner in East Walpole, MA
• Providers in East Walpole, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.