Individual provider Active NPI

Latoya Davis Lucas, NP

  • Adult Health Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1750696274
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5004800 Issued in NC
Practice address
2211 W Meadowview Rd Ste 107
Greensboro, NC 27407-3408
Phone
(336) 543-0480
Fax
(336) 313-2417
NPI assigned
Aug 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5004800 NC Primary

Addresses

Primary practice location

2211 W Meadowview Rd Ste 107
Greensboro, NC 27407-3408

Mailing address

2211 W Meadowview Rd # 1
Greensboro, NC 27407-3409
Phone (336) 543-0480

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@lucasehc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240821002445 NC Practitioner - Nurse Practitioner 8628292885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2203 Eastchester Dr
Suite 101
High Point, NC 27265-1519
Phone (336) 543-0480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5004800NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Springs Road Consulting LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: latoya.lucas.1@24825.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1750696274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 W MEADOWVIEW RD # 1",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073409",
            "telephone_number": "336-543-0480",
            "fax_number": "336-313-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 W MEADOWVIEW RD STE 107",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073408",
            "telephone_number": "336-543-0480",
            "fax_number": "336-313-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "LATOYA",
        "middle_name": "DAVIS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5004800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@lucasehc.com",
            "affiliation": "N",
            "address_1": "2211 W Meadowview Rd Ste 107",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274073408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.