Individual provider Active NPI

Kaitlyn M Lucas, APRN

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1326545336
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
251532 Issued in AZ
Practice address
655 E River Rd Ste 201
Tucson, AZ 85704-5824
Phone
(520) 258-0585
Fax
(833) 449-2358
NPI assigned
Apr 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 251532 AZ Primary

Addresses

Primary practice location

655 E River Rd Ste 201
Tucson, AZ 85704-5824

Mailing address

PO Box 81064
Cleveland, OH 44181-0064
Phone (520) 795-0608

Other practice location 1

4600 S Park Ave Ste 6B
Tucson, AZ 85714-1697
Phone (520) 795-0771

Other names 1

  • Kaitlyn M Burton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200722003564 OK Practitioner - Nurse Practitioner 5193149128 Reassigns benefits to 1 organization
I20211020002355 AZ Practitioner - Nurse Practitioner 5193149128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis OB GYN PLLCGroup PAC ID 4284724279, 109 clinicians

Practice addresses (Care Compare)

1521 E Tangerine Rd
Suite 361
Oro Valley, AZ 85755-6224
Phone (520) 545-0573

4600 S Park Ave
Suite 6B
Tucson, AZ 85714-1697
Phone (520) 624-6260

655 E River Rd
Suite 201
Tucson, AZ 85704-5824
Phone (520) 258-0585

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
251532AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis OB GYN PLLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

1521 E Tangerine Rd
Ste 361
Oro Valley, AZ 85755
Phone (520) 545-0573

6261 N La Cholla Blvd
Ste 3
Tucson, AZ 85741

6261 N La Cholla Blvd
Ste 277
Tucson, AZ 85741
Phone (520) 694-6800

2424 N Wyatt Dr
Ste 260
Tucson, AZ 85712
Phone (520) 795-0549

4600 S Park Ave
Ste 6B
Tucson, AZ 85714
Phone (520) 323-5577

655 E River Rd
Unit 201
Tucson, AZ 85704
Phone (206) 895-4292

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kaitlyn.burton.1@19050.direct.athenahealth.com

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": "1523059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1326545336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81064",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441810064",
            "telephone_number": "520-795-0608",
            "fax_number": "520-795-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 E RIVER RD STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045824",
            "telephone_number": "520-258-0585",
            "fax_number": "833-449-2358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 S Park Ave Ste 6B",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857141697",
            "country_code": "US",
            "telephone_number": "520-795-0771",
            "fax_number": "520-877-3801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "KAITLYN",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-07",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "251532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "BURTON",
            "middle_name": "M",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.