Active NPI
Lucas Ramon Porter, M.A,, L.P.A.
- Clinical Psychologist
- Owensboro, KY
National Provider Identifier
1427419308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSYPAT00225290
- Practice address
- 1100 Walnut St
Owensboro, KY 42301-2956 - Phone
- (270) 684-2692
- NPI assigned
- Mar 18, 2016
- Last updated
- Mar 18, 2016
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSYPAT00225290 | KY | Primary |
Addresses
Primary practice location
1100 Walnut St
Owensboro, KY 42301-2956
Mailing address
1100 Walnut St
Owensboro, KY 42301-2956
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSYPAT00225290 | KY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458259200000",
"number": "1427419308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 WALNUT ST",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423012956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WALNUT ST",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423012956",
"telephone_number": "270-684-2692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "LUCAS",
"middle_name": "RAMON",
"name_prefix": "Mr.",
"credential": "M.A,, L.P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-18",
"last_updated": "2016-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "PSYPAT00225290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.