Active NPI
Annette Loveland Lucas, CRNP
- Pediatric Nurse Practitioner
- Wexford, PA
National Provider Identifier
1760471924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- VP00177OD
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02149 | Other | PA | EPSDT PROVIDER NUMBER |
| RN282613L | Other | PA | RN MEDICAL LIC NUMBER |
| VP001770D | Other | PA | CRNP LIC NUMBER |
Other names 1
- Ms. Annette Loveland
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN282613L | PA | MD | Pediatric Registered Nurse |
| VP00177OD | PA | MD | Pediatric Nurse Practitioner |
Interoperability endpoints
- 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.