Melanie Lucido, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

1044960 Issued in TX

Practice address

12890 Hillcrest Rd
Suite 201
Dallas, TX 75230-1504

Phone

(972) 386-6310

Fax

(972) 404-9150

NPI assigned

Mar 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336268978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9413 TRAIL HILL DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752381437",
            "telephone_number": "972-386-6310",
            "fax_number": "972-404-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12890 HILLCREST RD",
            "address_2": "SUITE 201",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301504",
            "telephone_number": "972-386-6310",
            "fax_number": "972-404-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIDO",
        "first_name": "MELANIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1044960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "571156586",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlen Lucero
• Trey Lucero
• Conceptah Luchendo, NP
• Mistie B Luchtel-Ross, PA-C
• Lizbeth Luciano-Flores
• Michael Lucido
• Lucienne Cohen Therapy, PLLC
• Bonnie Lucio, PT, GCS
• Ashley Luck, CPNP-PC
• Shawn Anthony Luck, DDS

• Specialist in Dallas, TX
• Providers in Dallas, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.