Individual provider Active NPI

Cheryl Ann Lucius, COTA

  • Occupational Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1316295215
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
201143 Issued in MN
Practice address
601 25TH Ave S
601 25TH Ave So.
Minneapolis, MN 55454-1454
Phone
(651) 690-7772
NPI assigned
Aug 27, 2012
Last updated
Aug 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 201143 MN Primary

Addresses

Primary practice location

601 25TH Ave S
601 25TH Ave So.
Minneapolis, MN 55454-1454

Mailing address

2094 Willow Cir
2094 Willow Circle
Centerville, MN 55038-8774
Phone (651) 447-9250

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

LicenseStateTypeSpecialty
201143MNMDOccupational Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1316295215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2094 WILLOW CIR",
            "address_2": "2094 WILLOW CIRCLE",
            "city": "CENTERVILLE",
            "state": "MN",
            "postal_code": "550388774",
            "telephone_number": "651-447-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 25TH AVE S",
            "address_2": "601 25TH AVE SO.",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541454",
            "telephone_number": "651-690-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIUS",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MN",
            "license": "201143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.