Individual provider Active NPI

Diane L Lucas, CRNA

  • Certified Registered Nurse Anesthetist
  • Lauderdale Lakes, FL
National Provider Identifier
1578703237
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN1377322 Issued in FL
Practice address
4485 N State Rd 7
Lauderdale Lakes, FL 33319
Phone
(954) 720-3188
Fax
(954) 586-2589
NPI assigned
Feb 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN1377322 FL Primary

Addresses

Primary practice location

4485 N State Rd 7
Lauderdale Lakes, FL 33319

Mailing address

7154 N University Dr # 316
Tamarac, FL 33321-2916
Phone (954) 720-3188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090424000053 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183772478 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miami Anesthesia Services LLCGroup PAC ID 1355651837, 168 clinicians

Practice addresses (Care Compare)

995 Mar Walt Dr
Fort Walton Beach, FL 32547-6758
Phone (888) 851-4642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 12, 2024 Accepting new patients
Miami Beach Anesthesiology Associates Inc CurrentSince Apr 6, 2009 Accepting new patients
Anesthesia Pain Care Consultants LLC CurrentSince Oct 8, 2018 Accepting new patients
Galloway Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 23, 2024 Accepting new patients
Miami Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 18, 2024 Accepting new patients
Galloway Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 23, 2024 Accepting new patients
Anesthesia Pain Care Consultants LLC CurrentSince Oct 8, 2018 Accepting new patients

Locations

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

7152 Coca Sabal Ln
Fort Myers, FL 33908
Phone (239) 939-9939

995 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 863-7887

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

4485 N State Road 7
Lauderdale Lakes, FL 33319
Phone (954) 720-3188

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

13837 Circa Crossing Dr
Ste 100
Lithia, FL 33547
Phone (352) 256-2855

515 W State Road 434
Ste 105
Longwood, FL 32750
Phone (407) 260-6000

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

7600 SW 87th Ave
Ste 100
Miami, FL 33173
Phone (786) 235-3750

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

4300 Alton Rd
Ste 1402
Miami Beach, FL 33140
Phone (305) 674-2345

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

7171 N University Dr
Ste 300
Tamarac, FL 33321
Phone (954) 720-3188

7171 N University Dr
Tamarac, FL 33321
Phone (954) 724-6100

7154 N University Dr
Tamarac, FL 33321
Phone (954) 720-3188

2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IADCDD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1578703237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7154 N UNIVERSITY DR # 316",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212916",
            "telephone_number": "954-720-3188",
            "fax_number": "954-586-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 N STATE RD 7",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "33319",
            "telephone_number": "954-720-3188",
            "fax_number": "954-586-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "DIANE",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN1377322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.