Individual provider Active NPI

Jamie L Lucia, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1316110265
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95021576 Issued in CA
Practice address
1103 N B St
Sacramento, CA 95811-0326
Phone
(916) 378-8266
NPI assigned
Apr 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 721373 CA
Case Manager/Care Coordinator 171M00000X 721373 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95021576 CA Primary

Addresses

Primary practice location

1103 N B St
Sacramento, CA 95811-0326

Mailing address

1103 N B St Ste D
Sacramento, CA 95811-0326

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250220003237 CA Order and Referring Only - PsychiatryPractitioner - Psychiatry 4789104795

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
721373CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation CurrentSince Dec 10, 2023 Accepting new patients
Telecare Corporation CurrentSince Jan 8, 2023 Accepting new patients

Locations

1103 N B St
Ste D
Sacramento, CA 95811
Phone (916) 378-8266

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1316110265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 N B ST STE D",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958110326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 N B ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958110326",
            "telephone_number": "916-378-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIA",
        "first_name": "JAMIE",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "721373",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "721373",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95021576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.