Active NPI
Tia Nicole Lucas
- Specialist
- Rocky Mount, NC
National Provider Identifier
1689187650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 209 NE Main St
Rocky Mount, NC 27801-5301 - Phone
- (252) 497-3661
- NPI assigned
- Nov 13, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
209 NE Main St
Rocky Mount, NC 27801-5301
Mailing address
209 NE Main St
Rocky Mount, NC 27801-5301
Phone (252) 497-3661
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynmaik Learning, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Case Manager/Care Coordinator
- Rocky Mount, NC
- NPI 1598271165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510531200000",
"number": "1689187650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 NE MAIN ST",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278015301",
"telephone_number": "252-497-3661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 NE MAIN ST",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278015301",
"telephone_number": "252-497-3661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "TIA",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-13",
"last_updated": "2017-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.