Active NPI
Erin Beth Lucas, PA-C
- Medical Physician Assistant
- Edmond, OK
National Provider Identifier
1740511500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA1875
- Practice address
- 2000 E 15TH St
Suite 400a
Edmond, OK 73013-6697 - Phone
- (405) 341-1697
- NPI assigned
- Jan 19, 2010
- Last updated
- Feb 13, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA1875 | OK | Primary |
Addresses
Primary practice location
2000 E 15TH St
Suite 400a
Edmond, OK 73013-6697
Mailing address
2321 NW 45TH St
Oklahoma City, OK 73112-8334
Phone (405) 341-1697
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1875 | OK | MD | Clinical Social Worker |
| PA1875 | OK | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital Colorado | Current | Accepting new patients |
Interoperability endpoints
- elucas197341@direct.childrenscolorado.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392249600000",
"number": "1740511500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2321 NW 45TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731128334",
"telephone_number": "405-341-1697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 E 15TH ST",
"address_2": "SUITE 400A",
"city": "EDMOND",
"state": "OK",
"postal_code": "730136697",
"telephone_number": "405-341-1697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "ERIN",
"middle_name": "BETH",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-19",
"last_updated": "2014-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OK",
"license": "PA1875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.