Active NPI
Deborah Caroline Lucero, NP
- Critical Care Medicine Nurse Practitioner
- Longmont, CO
National Provider Identifier
1366063224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Nurse Practitioner
- License
- APN.0995488-NP
- Practice address
- 2310 Provenance St
Longmont, CO 80504-3706 - Phone
- (970) 402-5272
- NPI assigned
- May 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Nurse Practitioner | 363LC0200X | APN.0995488-NP | CO | Primary |
Addresses
Primary practice location
2310 Provenance St
Longmont, CO 80504-3706
Mailing address
2310 Provenance St
Longmont, CO 80504-3706
Phone (970) 402-5272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95-093-2243 | Other | CO | DRIVER'S LICENSE |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0995488-NP | CO | MD | Critical Care Medicine Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588291200000",
"number": "1366063224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 PROVENANCE ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805043706",
"telephone_number": "970-402-5272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 PROVENANCE ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805043706",
"telephone_number": "970-402-5272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCERO",
"first_name": "DEBORAH",
"middle_name": "CAROLINE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-01",
"last_updated": "2020-05-01",
"certification_date": "2020-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "CO",
"license": "APN.0995488-NP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "95-093-2243",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.