Jessica Lorraine Lucas, R-MA

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

5049 W Beverly LN
Glendale, AZ 85306-2029

Phone

(602) 550-5839

Fax

(602) 550-5839

NPI assigned

Feb 6, 2018

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Medical Assistant

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1437658317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5085",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853855085",
            "telephone_number": "602-550-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5049 W BEVERLY LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853062029",
            "telephone_number": "602-550-5839",
            "fax_number": "602-550-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "JESSICA",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "R-MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ARIZONA  DEPARTMENT OF PUBLIC SAFETY- FINGER PRINT CLEARANCE CARD",
            "identifier": "2501137937",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SAFETY & HEALTH INSTITUTE",
            "identifier": "54274",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN MEDICAL TECHNOLOGIES",
            "identifier": "2791281",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Lozada
• Joseph Patrick Lozon, M.D.
• Hsin-Ju Lu
• Mark Clinton Luba, MD
• Susan T. Luberto, D.O.
• Kim L Lucas, M.D.
• Rudolph Lucas
• Kamryn Lucero, PT, DPT
• Matthew Lucht, AT
• Lorraine Luciano, LPC

• In Home Supportive Care Agency in Glendale, AZ
• Providers in Glendale, AZ by specialty
• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.