Individual provider Active NPI

Christy M Lucas, APN

  • Family Nurse Practitioner
  • Collierville, TN
National Provider Identifier
1457529661
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12976 Issued in TN
Practice address
472 W Poplar Ave Ste 201
Collierville, TN 38017-2538
Phone
(901) 854-5771
Fax
(901) 854-5774
NPI assigned
Feb 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12976 TN Primary

Addresses

Primary practice location

472 W Poplar Ave Ste 201
Collierville, TN 38017-2538

Mailing address

472 W Poplar Ave Ste 201
Collierville, TN 38017-2538
Phone (901) 854-5771

Other practice location 1

104 E Main St
Halls, TN 38040-1523
Phone (731) 836-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20080317000469 TN Practitioner - Nurse Practitioner 9739264680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Urgent Care LLCGroup PAC ID 2466623558, 4 clinicians

Practice addresses (Care Compare)

472 W Poplar Ave
Suite 201
Collierville, TN 38017-2538
Phone (901) 854-5771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12976TNMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Wellness PLLC CurrentSince Jun 16, 2026 Accepting new patients
First Choice Urgent Care LLC CurrentSince Aug 15, 2011 Accepting new patients
West TN Medical, PLLC Past Accepting new patients
Adult Primary Care of Memphis PC Past Accepting new patients

Locations

472 W Poplar Ave
Ste 100
Collierville, TN 38017
Phone (901) 854-5771

472 W Poplar Ave
Ste 201
Collierville, TN 38017
Phone (901) 854-5771

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26685/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1457529661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 W POPLAR AVE STE 201",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172538",
            "telephone_number": "901-854-5771",
            "fax_number": "901-854-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 W POPLAR AVE STE 201",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172538",
            "telephone_number": "901-854-5771",
            "fax_number": "901-854-5774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 E Main St",
            "address_purpose": "LOCATION",
            "city": "Halls",
            "state": "TN",
            "postal_code": "380401523",
            "country_code": "US",
            "telephone_number": "731-836-7700",
            "fax_number": "731-836-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "CHRISTY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "12976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

Verify at the official NPI Registry.