Rebecca L Lucas, DNP

Individual provider Active NPI Family Nurse Practitioner · Ennis, TX

NPI 1487811097 · NPPES record last updated Oct 25, 2019

Key facts

NPI
1487811097
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
110709 (TX)
Practice address
2203 W Lampasas St
Ennis, TX 75119-5666
Phone
(972) 875-8833
Fax
(972) 875-8866
NPI assigned
May 21, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vip Healthcare PLLC (4 clinicians)

Practice addresses (Care Compare)

601 S Clay St
Suite 104
Ennis, TX 75119-5771
Phone (978) 875-6600

Hospital & facility affiliations

  • Angels Care Home Health Home health agency · Weatherford, TX · CCN 677099
  • Ennis Regional Medical Center Hospital · Ennis, TX · CCN 450833
  • Baylor Scott & White Medical Center- Waxahachie Hospital · Waxahachie, TX · CCN 450372

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120106000470 TX Practitioner - Nurse Practitioner 6608042015 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
110709TXMDSpeech-Language Pathologist
517664TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vip Healthcare, PLLC Current
since Jul 14, 2024
Accepting new patients

Locations

601 S Clay St
Ste 104
Ennis, TX 75119
Phone (972) 875-6600

Interoperability endpoints

  • Direct secure messaging: nef8783@yourcarecommunity.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 110709 TX Yes
Family Nurse Practitioner 363LF0000X 517664 TX

Addresses

Primary practice location

2203 W Lampasas St
Ennis, TX 75119-5666

Mailing address

2203 W Lampasas St Ste 210
Ennis, TX 75119-5668
Phone (972) 875-8833

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 25, 2019.

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1487811097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 W LAMPASAS ST STE 210",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751195668",
            "telephone_number": "972-875-8833",
            "fax_number": "987-875-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 W LAMPASAS ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751195666",
            "telephone_number": "972-875-8833",
            "fax_number": "972-875-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "110709",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "517664",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ennis, TX

All providers in Ennis, TX · Family Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.