Active NPI
Nancy S Lucas, AU.D.
- Audiologist
- Fort Worth, TX
National Provider Identifier
1245240225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 51496
- Practice address
- 5049 Edwards Ranch Rd
Fort Worth, TX 76109-4213 - Phone
- (817) 645-0001
- NPI assigned
- Aug 9, 2006
- Last updated
- Dec 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 51496 | TX | Primary |
| Assistive Technology Practitioner Audiologist | 231HA2400X | 51496 | TX | |
| Assistive Technology Supplier Audiologist | 231HA2500X | 51496 | NU |
Addresses
Primary practice location
5049 Edwards Ranch Rd
Fort Worth, TX 76109-4213
Mailing address
11797 South Fwy Ste 132
Burleson, TX 76028-7035
Phone (817) 551-0466
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51496 | TX | MD | Assistive Technology Practitioner Audiologist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Chisholm Trail Hearing
- Hearing Aid Equipment
- Cleburne, TX
- NPI 1871922583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1245240225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11797 SOUTH FWY STE 132",
"city": "BURLESON",
"state": "TX",
"postal_code": "760287035",
"telephone_number": "817-551-0466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5049 EDWARDS RANCH RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094213",
"telephone_number": "817-645-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "NANCY",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "51496",
"primary": true
},
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "TX",
"license": "51496",
"primary": false
},
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "NU",
"license": "51496",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.