Marlie E Lucas, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP3230 Issued in AZ

Practice address

1810 Mesquite Ave Ste B
Lake Havasu City, AZ 86403-5886

Phone

(804) 554-9814

Fax

(480) 776-0025

NPI assigned

Mar 30, 2007

Last updated

Feb 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 44)

Interoperability endpoints

• Direct secure messaging: marlie.lucas.1@29900.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nextcare Arizona LLC

  dba NextCare Urgent Care

  • Urgent Care Clinic/Center
  • Tempe, AZ
  • NPI 1043371826
  Medicare reassignment NPD
• Marlie E Lucas

  dba Lucas Medical

  • Clinic/Center
  • Kingman, AZ
  • NPI 1437612355
  NPD Authorized official
• Bullhead Urgent Care Corp

  dba Bullhead Urgent Care Center

  • Family Medicine Physician
  • Bullhead City, AZ
  • NPI 1225158470

  Nurse Practitioner

  NPD
• Nextcare Arizona I JV LLC

  • Urgent Care Clinic/Center
  • Tempe, AZ
  • NPI 1114798071
  NPD
• Mohave Desert Radiology PLC

  • Diagnostic Radiology Physician
  • Fort Mohave, AZ
  • NPI 1861647687
  NPD (past)
• Mohave Primary Care

  • Specialist
  • Kingman, AZ
  • NPI 1700909330
  NPD (past)
• Sycamore Avenue Medical Center, PLLC

  • Family Nurse Practitioner
  • Kingman, AZ
  • NPI 1245762491
  NPD (past)
• Cary L Dunn M D P a

  • MOHS-Micrographic Surgery Physician
  • Sarasota, FL
  • NPI 1528023389
  NPD (past)
• Lakeland Dermatology

  • Specialist
  • Lakeland, FL
  • NPI 1255403762
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1447370630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 N STOCKTON HILL RD",
            "address_2": "STE 104",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014698",
            "telephone_number": "804-554-9814",
            "fax_number": "807-760-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MESQUITE AVE STE B",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035886",
            "telephone_number": "804-554-9814",
            "fax_number": "480-776-0025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 Sycamore Ave",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "864093548",
            "country_code": "US",
            "telephone_number": "928-692-1900",
            "fax_number": "928-692-1922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "MARLIE",
        "middle_name": "E",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP3230",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP1107982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Eugene Long, M.D.
• Melanie Nicole Longi, LPC
• Manu Lonial, M.D.
• Louis a. King D.C.P.C.
• James Otto Lucas, LISAC
• L D Lumpkin, LCSW LISAC
• Luana Kay Luna, PTA
• Lundin Dental PC
• Cameron Lundin, DDS
• Larry C Lundin, DDS

• Nurse Practitioner in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.