Active NPI
Lucas Scott Elliott
- Student in an Organized Health Care Education/Training Program
- Tuscaloosa, AL
National Provider Identifier
1679482863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 120 15TH St E Apt 6104
Tuscaloosa, AL 35401-8608 - Phone
- (256) 521-6037
- NPI assigned
- Sep 3, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AL | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | AL | Primary |
Addresses
Primary practice location
120 15TH St E Apt 6104
Tuscaloosa, AL 35401-8608
Mailing address
120 15TH St E Apt 6104
Tuscaloosa, AL 35401-8608
Phone (256) 521-6037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1679482863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 15TH ST E APT 6104",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354018608",
"telephone_number": "256-521-6037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 15TH ST E APT 6104",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354018608",
"telephone_number": "256-521-6037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "LUCAS",
"middle_name": "SCOTT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.