Individual provider Active NPI

Monique Nicole Lucas, RN

  • Home Health Registered Nurse
  • Concord, NC
National Provider Identifier
1336432533
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
289597 Issued in NC
Practice address
11 Union St S Ste 105
Concord, NC 28025-5088
Phone
(980) 202-3500
NPI assigned
May 20, 2011
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 289597 NC Primary
Infusion Therapy Registered Nurse 163WI0500X 289597 NC
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

11 Union St S Ste 105
Concord, NC 28025-5088

Mailing address

10301 Windtree LN
Charlotte, NC 28215-9019
Phone (443) 326-6111

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
289597NCMDInfusion Therapy Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Heart Home Health PLLC Home Health CurrentSince Feb 2, 2025 Accepting new patients
Hydraspa Rejuvenation Station LLC CurrentSince Feb 2, 2025 Accepting new patients

Locations

11 Union St S
Ste 105
Concord, NC 28025
Phone (980) 202-3500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1336432533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 WINDTREE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282159019",
            "telephone_number": "443-326-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 UNION ST S STE 105",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255088",
            "telephone_number": "980-202-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "MONIQUE",
        "middle_name": "NICOLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-20",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NC",
            "license": "289597",
            "primary": true
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NC",
            "license": "289597",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.