Active NPI
Donald Sean Lucy, BA
- Community Health Worker
- Albuquerque, NM
National Provider Identifier
1780988709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 00988780
- Practice address
- 5601 Domingo Rd NE
Albuquerque, NM 87108-1610 - Phone
- (505) 268-5295
- Fax
- (505) 268-9967
- NPI assigned
- Jan 5, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 00988780 | TX | Primary |
Addresses
Primary practice location
5601 Domingo Rd NE
Albuquerque, NM 87108-1610
Mailing address
5601 Domingo Rd NE
Albuquerque, NM 87108-1610
Phone (505) 268-5295
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00988780 | TX | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294185600000",
"number": "1780988709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 DOMINGO RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871081610",
"telephone_number": "505-268-5295",
"fax_number": "505-268-9967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 DOMINGO RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871081610",
"telephone_number": "505-268-5295",
"fax_number": "505-268-9967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCY",
"first_name": "DONALD",
"middle_name": "SEAN",
"name_prefix": "Mr.",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-05",
"last_updated": "2011-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "TX",
"license": "00988780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.