Lucas Nelson Vanemelen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9108849 Issued in FL

Practice address

2500 Gulf Beach Hwy
Pensacola, FL 32507-2831

Phone

(951) 852-5844

NPI assigned

Nov 6, 2011

Sex

Male

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

Locations

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.

• KLB Healthcare, LLC

  • Family Medicine Physician
  • Pensacola, FL
  • NPI 1255102315
  NPD Authorized official

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

{
    "created_epoch": "1320537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1184901019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 GULF BEACH HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325072831",
            "telephone_number": "850-285-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 GULF BEACH HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325072831",
            "telephone_number": "951-852-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANEMELEN",
        "first_name": "LUCAS",
        "middle_name": "NELSON",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-06",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua David Van Vleet, FNP-C
• Caitlin Jean Van Why, PA-C
• William C. Van Why Jr., APRN
• Karen Vanbeneden Colley, ARNP
• Michael K Vandenberg, MD
• Vanguardmd LLC
• Elizabeth Claire Vanholtz
• April E Vanhousen, APRN
• Nathan Tyler Vanmeter, LMHC
• Stacey Ann Vann, DOULA, ERYT-500

• Physician Assistant in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.