Individual provider Active NPI

Lucy Ceraldi, RN, CNOR , CRNFA

  • Registered Nurse First Assistant
  • Euless, TX
National Provider Identifier
1538218482
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
581823 Issued in TX
Practice address
2910 Whetstone LN
Euless, TX 76039-4114
Phone
(817) 366-2804
Fax
(817) 540-2503
NPI assigned
Jan 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 581823 TX Primary

Addresses

Primary practice location

2910 Whetstone LN
Euless, TX 76039-4114

Mailing address

2910 Whetstone LN
Euless, TX 76039-4114
Phone (817) 366-2804

Other identifiers 2

IdentifierTypeStateIssuer
89N951 GROUP # 66HTOtherTXBCBS
CCP108328MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
581823TXMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lucy Ceraldi Registered Nurse First Assistant Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538218482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 WHETSTONE LN",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760394114",
            "telephone_number": "817-366-2804",
            "fax_number": "817-540-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 WHETSTONE LN",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760394114",
            "telephone_number": "817-366-2804",
            "fax_number": "817-540-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERALDI",
        "first_name": "LUCY",
        "credential": "RN, CNOR , CRNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "581823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89N951  GROUP # 66HT",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CCP108328",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Euless, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.