Tanya Lucas, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

F420900-1 Issued in NY

Practice address

4 Skyline Dr
Suite 7
Hawthorne, NY 10532-2147

Phone

(914) 467-7343

Fax

(914) 418-1042

NPI assigned

Jun 23, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Nurse Practitioner

Education

State University of New York Downstate Medical Center, 2008

Medicare assignment

May accept Medicare assignment

Group practices

East Harlem Council for Human Services IncGroup PAC ID 8628194842, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles (8 of 12)

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/EAJCAA
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: tanya.lucas.p2@direct.sdv.nextgenshare.com

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.

• East Harlem Council for Human Services Inc

  • Community Health Clinic/Center
  • New York, NY
  • NPI 1467486449

  NY

  Medicare reassignment Care Compare group NPD
• Open Door Family Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Port Chester, NY
  • NPI 1285893719

  NY

  Medicare reassignment NPD
• Samaritan Daytop Health

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1518641752

  NY

  Medicare reassignment NPD
• East Harlem Council for Human Services Inc

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1124530084
  NPD
• Open Door Family Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Sleepy Hollow, NY
  • NPI 1619136140
  NPD
• Open Door Family Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Saugerties, NY
  • NPI 1780166645
  NPD
• Planned Parenthood HP

  • Health Maintenance Organization
  • West Islip, NY
  • NPI 1588729560
  NPD (past)
• Samaritan Daytop Village, Inc.

  • Substance Abuse Rehabilitation Facility
  • Richmond Hill, NY
  • NPI 1396822839
  NPD (past)

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1528296068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SOUTHERN BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10460",
            "telephone_number": "718-860-8595",
            "fax_number": "718-991-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SKYLINE DR",
            "address_2": "SUITE 7",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322147",
            "telephone_number": "914-467-7343",
            "fax_number": "914-418-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "TANYA",
        "name_prefix": "Ms.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "488352-1",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F420900-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3452884",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delong Liu, M.D., PH.D.
• Alina Livshits Tvina, MD
• Maria E Lombardi, DO
• Alison P Loop, CPNP
• Diana B Lowenthal, MD
• Carol A Lundin, MD
• Jayme Kathryn Lyons
• Alessandra Maccormack, PA-C
• Anthony V Maddalo, M.D.
• Gina Madden

• All providers in Hawthorne, NY
• Women's Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.