Active NPI
Elisha Renee Lucier, LPN,RBT
- Licensed Practical Nurse
- Mansfield, OH
National Provider Identifier
1245969492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN-109523
- Practice address
- 581 Morrison Ave
Mansfield, OH 44904-1529 - Phone
- (937) 723-0841
- NPI assigned
- Jun 5, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-205641 | OH | |
| Licensed Practical Nurse | 164W00000X | PN-109523 | OH | Primary |
Addresses
Primary practice location
581 Morrison Ave
Mansfield, OH 44904-1529
Mailing address
581 Morrison Ave
Mansfield, OH 44904-1529
Phone (937) 723-0841
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PN-109523 | Other | OH | LPN |
| RBT-22-205641 | Other | OH | REGISTERED BEHAVIOR TECHNICIAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | elucier@creativelearningexpressions.org | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-205641 | OH | MD | Behavior Technician |
| PN-109523 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654387200000",
"number": "1245969492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "581 MORRISON AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449041529",
"telephone_number": "937-723-0841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "581 MORRISON AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449041529",
"telephone_number": "937-723-0841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCIER",
"first_name": "ELISHA",
"middle_name": "RENEE",
"credential": "LPN,RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-05",
"last_updated": "2022-06-05",
"certification_date": "2022-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OH",
"license": "RBT-22-205641",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN-109523",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPN",
"identifier": "PN-109523",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED BEHAVIOR TECHNICIAN",
"identifier": "RBT-22-205641",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "elucier@creativelearningexpressions.org",
"affiliation": "N",
"endpointDescription": "Business Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Business Email",
"address_1": "581 Morrison Ave",
"city": "Mansfield",
"state": "OH",
"country_code": "US",
"postal_code": "449041529",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.