Active NPI
William Clyde Lucas, FNP
- Family Nurse Practitioner
- Sahuarita, AZ
National Provider Identifier
1366542193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN 039777
- Practice address
- 7640 W. Maverick Rd.
Sahuarita, AZ 85629 - Phone
- (520) 625-5853
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN 039777 | AZ | Primary |
Addresses
Primary practice location
7640 W. Maverick Rd.
Sahuarita, AZ 85629
Mailing address
PO Box 1681
Green Valley, AZ 85622-1681
Phone (520) 625-5853
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 039777 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Medicine Inc. | Past | Accepting new patients | |
| Nextcare Arizona LLC | Past | Accepting new patients |
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": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366542193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1681",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856221681",
"telephone_number": "520-625-5853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7640 W. MAVERICK RD.",
"city": "SAHUARITA",
"state": "AZ",
"postal_code": "85629",
"telephone_number": "520-625-5853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "WILLIAM",
"middle_name": "CLYDE",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "RN 039777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sahuarita, AZ
Sources for this page
- 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.