Individual provider Active NPI

Sharon Holness Lucas, MD

  • Pediatrics Physician
  • Shenandoah, TX
National Provider Identifier
1609976844
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M9468 Issued in TX
Practice address
19221 Interstate 45 S
Suite 430
Shenandoah, TX 77385-8756
Phone
(832) 813-5743
Fax
(832) 813-8127
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X M9468 TX Primary

Addresses

Primary practice location

19221 Interstate 45 S
Suite 430
Shenandoah, TX 77385-8756

Mailing address

19221 Interstate 45 S
Suite 430
Shenandoah, TX 77385-8756
Phone (832) 813-5743

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081218000476 TX Practitioner - Pediatric Medicine 2567354962 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Pediatrics Pediatrics CurrentSince Jul 15, 2012 Accepting new patients
Sadler Clinic Association Past Accepting new patients

Locations

19221 Interstate 45 S
Ste 430
Shenandoah, TX 77385
Phone (281) 419-1464

Interoperability endpoints

  • Direct secure messaging: slucas66208@memorialhermann.direct-ci.com

Organizations & group practices 2

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1609976844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19221 INTERSTATE 45 S",
            "address_2": "SUITE 430",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858756",
            "telephone_number": "832-813-5743",
            "fax_number": "832-813-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19221 INTERSTATE 45 S",
            "address_2": "SUITE 430",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858756",
            "telephone_number": "832-813-5743",
            "fax_number": "832-813-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "SHARON",
        "middle_name": "HOLNESS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M9468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.