Active NPI
Sandra Charlotte Lucas, MA CFY-SLP
- Speech-Language Pathologist
- Yakima, WA
National Provider Identifier
1205349842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 543749F
- Practice address
- 1114 W Pierce St
Yakima, WA 98902-5823 - Phone
- (509) 573-2221
- NPI assigned
- Nov 6, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 543749F | WA | Primary |
Addresses
Primary practice location
1114 W Pierce St
Yakima, WA 98902-5823
Mailing address
104 N 4TH Ave
Yakima, WA 98902-2636
Phone (509) 573-7000
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 543749F | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509926400000",
"number": "1205349842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 N 4TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989022636",
"telephone_number": "509-573-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 W PIERCE ST",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989025823",
"telephone_number": "509-573-2221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "SANDRA",
"middle_name": "CHARLOTTE",
"credential": "MA CFY-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-06",
"last_updated": "2017-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "543749F",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.