Stacia W Lusby, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

L6103 Issued in TX

Practice address

1501 S Coulter St
Amarillo, TX 79106-1770

Phone

(806) 367-2488

Fax

(806) 354-1833

NPI assigned

Sep 8, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Texas Tech University Health Sciences Center Amarillo

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1013942150
  Medicare reassignment NPD
• Texas Panhandle Mental Health Mental Retardation

  • Psychiatry Physician
  • Amarillo, TX
  • NPI 1134188139
  Medicare reassignment
• Texas Tech University Health Sciences Center

  • Pharmacy
  • Lubbock, TX
  • NPI 1609810977
  NPD
• Texas Tech University Health Sciences Center Amarillo

  • Psychologist
  • Amarillo, TX
  • NPI 1255365375
  NPD
• Texas Tech University Health Sciences Center Amarillo

  • Surgery Physician
  • Amarillo, TX
  • NPI 1033144175
  NPD (past)

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1508960832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 BRIGHTON PL",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791194909",
            "telephone_number": "806-353-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061770",
            "telephone_number": "806-367-2488",
            "fax_number": "806-354-1833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Wallace Blvd",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791061708",
            "country_code": "US",
            "telephone_number": "806-414-9970",
            "fax_number": "806-351-3783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUSBY",
        "first_name": "STACIA",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L6103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184947303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alesa Luna, CPHT
• Kathy Ann Lundegreen, RN
• Caroline Triana Lupercio, FNP-C
• Albert Ray Lusby, FNP
• James Edward Lusby, MD
• Luxottica Retail North America Inc
• Luxottica Retail North America Inc
• Charles L Lyles, LPC
• Mary Lyman
• Coltin Aubry Lynch, RBT

• Psychiatry Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.