NPIMap

Individual provider Active NPI

Tiffany Dawn Lucas, APRN, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • El Dorado, AR
National Provider Identifier
1295185106
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
A004783 Issued in AR
Practice address
600 S Timberlane Dr
El Dorado, AR 71730-6990
Phone
(870) 862-2400
Fax
(870) 864-8142
NPI assigned
Jun 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X A004783 AR Primary

Addresses

Primary practice location

600 S Timberlane Dr
El Dorado, AR 71730-6990

Mailing address

600 S Timberlane Dr
El Dorado, AR 71730-6990
Phone (870) 862-2400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tiffany.lucas.1@2218.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160913000811 AR Practitioner - Nurse Practitioner 0345473344 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appello Health and Wellness Clinic LLCGroup PAC ID 3971043290, 76 clinicians
Sama Healthcare Services PAGroup PAC ID 0749177855, 12 clinicians

Practice addresses (Care Compare)

2223 Grant St
Malvern, AR 72104-4700
Phone (501) 337-9031

600 S Timberlane Dr
El Dorado, AR 71730-6990
Phone (870) 862-2400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Apr 22, 2024 Accepting new patients
South Arkansas Physician Group LLC CurrentSince Nov 7, 2023 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jan 15, 2024 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
Sama Healthcare Services, PA CurrentSince Aug 15, 2025 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jan 15, 2024 Accepting new patients

Locations

600 S Timberlane Dr
El Dorado, AR 71730
Phone (870) 862-2400

620 W Grove St
Ste 202
El Dorado, AR 71730
Phone (870) 863-2420

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

1601 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7611

Interoperability endpoints

  • Direct secure messaging: tiffanylucas@samahcspa.allscriptsdirect.net
  • Direct secure messaging: tiffany.lucas.1@2218.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1295185106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S TIMBERLANE DR",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306990",
            "telephone_number": "870-862-2400",
            "fax_number": "870-864-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S TIMBERLANE DR",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306990",
            "telephone_number": "870-862-2400",
            "fax_number": "870-864-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "TIFFANY",
        "middle_name": "DAWN",
        "credential": "APRN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "A004783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tiffany.lucas.1@2218.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "620 W Grove St Ste 202",
            "city": "El Dorado",
            "state": "AR",
            "country_code": "US",
            "postal_code": "717304425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

Verify at the official NPI Registry.