Individual provider Active NPI

Lucas Steven Welgoss, RN

  • Registered Nurse
  • Arlington, VA
National Provider Identifier
1619748845
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0001299971 Issued in VA
Practice address
1625 N. George Mason Drive
Intensive Care Unit - Floor 2
Arlington, VA 22205
Phone
(703) 558-6585
NPI assigned
Jan 16, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001299971 VA Primary

Addresses

Primary practice location

1625 N. George Mason Drive
Intensive Care Unit - Floor 2
Arlington, VA 22205

Mailing address

11739 Fairfax Woods Way Apt 5301
Fairfax, VA 22030-8355
Phone (571) 245-9499

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
0001299971VAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1619748845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11739 FAIRFAX WOODS WAY APT 5301",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308355",
            "telephone_number": "571-245-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N. GEORGE MASON DRIVE",
            "address_2": "INTENSIVE CARE UNIT - FLOOR 2",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22205",
            "telephone_number": "703-558-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELGOSS",
        "first_name": "LUCAS",
        "middle_name": "STEVEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001299971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.