Active NPI
Vincent E Lucas, LMT, MMP
- Massage Therapist
- Charlotte, NC
National Provider Identifier
1629367248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8133
- Practice address
- 447 S Sharon Amity Rd
225
Charlotte, NC 28211-2836 - Phone
- (704) 905-0104
- NPI assigned
- Apr 5, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 8133 | NC | Primary |
Addresses
Primary practice location
447 S Sharon Amity Rd
225
Charlotte, NC 28211-2836
Mailing address
7825 Arboretum Dr
201
Charlotte, NC 28270-0323
Phone (704) 905-0104
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 |
|---|---|---|---|
| 8133 | NC | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301961600000",
"number": "1629367248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7825 ARBORETUM DR",
"address_2": "201",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282700323",
"telephone_number": "704-905-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "447 S SHARON AMITY RD",
"address_2": "225",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112836",
"telephone_number": "704-905-0104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "VINCENT",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "LMT, MMP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-05",
"last_updated": "2011-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "8133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.