Active NPI
Sacha Lucas, ARNP
- Family Nurse Practitioner
- Newport, KY
National Provider Identifier
1558378877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3004932
- Practice address
- 12 E 5TH St
Newport, KY 41071-1618 - Phone
- (859) 431-1704
- NPI assigned
- Aug 1, 2006
- Last updated
- Jan 12, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3004932 | KY | Primary |
Addresses
Primary practice location
12 E 5TH St
Newport, KY 41071-1618
Mailing address
130 Fort Beech Dr
Southgate, KY 41071-2857
Phone (859) 491-5354
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100128350 | Medicaid | KY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3004932 | KY | MD | Family Nurse Practitioner |
Interoperability endpoints
- slucas403293@direct-prd.stelizabeth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294790400000",
"number": "1558378877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 FORT BEECH DR",
"city": "SOUTHGATE",
"state": "KY",
"postal_code": "410712857",
"telephone_number": "859-491-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 E 5TH ST",
"city": "NEWPORT",
"state": "KY",
"postal_code": "410711618",
"telephone_number": "859-431-1704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "SACHA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2011-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3004932",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100128350",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.