Carlene Rose Lucas

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

95067379 Issued in CA

Practice address

147 N Brent St
Ventura, CA 93003-2809

Phone

(805) 948-5011

NPI assigned

Jul 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1740916394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2296 WESTWOOD DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 N BRENT ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032809",
            "telephone_number": "805-948-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "CARLENE",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CA",
            "license": "95067379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cmhs.org",
            "affiliation": "Y",
            "affiliationName": "Community Memorial Health System",
            "address_1": "147 N Brent St",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930032809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeannette Lu, LVN
• Mingxuan Lu, RBT
• Ying Lu, D.D.S
• Cynthia Lua, SLPA
• Ben Lucas-Roberts, M.D.
• Eleanor Lucas, CAODC
• Karin Lucero-Martinez, M.S.
• Andrea Marie Lucero-Ricketts, NP
• Shanna Rita Lucero, OTR/L
• Edgar A. Lueg, MD

• Registered Nurse First Assistant in Ventura, CA
• Providers in Ventura, CA by specialty
• Registered Nurse First Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.