Individual provider Active NPI

Annette Loveland Lucas, CRNP

  • Pediatric Nurse Practitioner
  • Wexford, PA
National Provider Identifier
1760471924
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
VP00177OD Issued in PA
Practice address
9795 Perry Hwy
Suite 100
Wexford, PA 15090-9700
Phone
(412) 366-7337
Fax
(412) 366-5118
NPI assigned
Oct 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X RN282613L PA
Pediatric Nurse Practitioner 363LP0200X VP00177OD PA Primary

Addresses

Primary practice location

9795 Perry Hwy
Suite 100
Wexford, PA 15090-9700

Mailing address

9795 Perry Hwy
Suite 100
Wexford, PA 15090-9700
Phone (412) 366-7337

Other identifiers 3

IdentifierTypeStateIssuer
02149OtherPAEPSDT PROVIDER NUMBER
RN282613LOtherPARN MEDICAL LIC NUMBER
VP001770DOtherPACRNP LIC NUMBER

Other names 1

  • Ms. Annette Loveland Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alucas172406@direct.ahn.org

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

State licenses

LicenseStateTypeSpecialty
RN282613LPAMDPediatric Registered Nurse
VP00177ODPAMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: alucas172406@direct.ahn.org

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1760471924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9795 PERRY HWY",
            "address_2": "SUITE 100",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909700",
            "telephone_number": "412-366-7337",
            "fax_number": "412-366-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9795 PERRY HWY",
            "address_2": "SUITE 100",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909700",
            "telephone_number": "412-366-7337",
            "fax_number": "412-366-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "ANNETTE",
        "middle_name": "LOVELAND",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "PA",
            "license": "RN282613L",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "VP00177OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EPSDT PROVIDER NUMBER",
            "identifier": "02149",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN MEDICAL LIC NUMBER",
            "identifier": "RN282613L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP LIC NUMBER",
            "identifier": "VP001770D",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alucas172406@direct.ahn.org",
            "affiliation": "N",
            "address_1": "9795 Perry Hwy",
            "address_2": "Suite 100",
            "city": "Wexford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150909700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "LOVELAND",
            "prefix": "MS.",
            "credential": "CRNP, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.