Active NPI
Suzanne Lucas, RNCS
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Harvard, MA
National Provider Identifier
1447368691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 173379
- Practice address
- 233 Ayer Rd
Shaker Place Suite 2
Harvard, MA 01451-1131 - Phone
- (978) 772-2670
- NPI assigned
- Aug 28, 2006
- Last updated
- Mar 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 173379 | MA | |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 173379 | MA | Primary |
Addresses
Primary practice location
233 Ayer Rd
Shaker Place Suite 2
Harvard, MA 01451-1131
Mailing address
153 Scott Rd
Fitchburg, MA 01420-1912
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1858939 | Medicaid | MA | |
| 364051 | Other | MA | MAGELLAN |
| 456267 | Other | MA | TUFTS |
| PN0796 | Other | MA | BLUECROSS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173379 | MA | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1447368691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 SCOTT RD",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014201912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 AYER RD",
"address_2": "SHAKER PLACE SUITE 2",
"city": "HARVARD",
"state": "MA",
"postal_code": "014511131",
"telephone_number": "978-772-2670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "SUZANNE",
"credential": "RNCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-28",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "MA",
"license": "173379",
"primary": false
},
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "MA",
"license": "173379",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1858939",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "364051",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "456267",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS",
"identifier": "PN0796",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harvard, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.