Active NPI
Kathleen E. Lucas MD, PA
- Pediatrics Physician
- Greensboro, NC
National Provider Identifier
1841250982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 31329
- Legal business name
- KATHLEEN E. LUCAS MD, PA
- Practice address
- 1416 Yanceyville St
Suite 1
Greensboro, NC 27405-6955 - Phone
- (336) 510-5510
- Fax
- (336) 510-5515
- NPI assigned
- Mar 24, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen E. Lucas, MD
- Title
- Owner
- Phone
- (336) 510-5510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 31329 | NC | Primary |
Addresses
Primary practice location
1416 Yanceyville St
Suite 1
Greensboro, NC 27405-6955
Mailing address
1416 Yanceyville St
Suite 1
Greensboro, NC 27405-6955
Phone (336) 510-5510
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1200895 | Other | NC | UNITED HEALTHCARE |
| 4238847 | Other | NC | AETNA INSURANCE |
| 790238L | Medicaid | NC | |
| E0113 | Other | NC | MEDCOST INSURANCE |
| 013VV | Other | NC | BLUE CROSS OF NC |
| 1207825 | Other | NC | UNITED HEALTHCARE |
| 5900891 | Other | NC | AETNA INSURANCE |
| B9751 | Other | NC | MEDCOST INSURANCE |
| 1201591 | Other | NC | UNITED HEALTHCARE |
| 87515 | Other | NC | MEDCOST INSURANCE |
| 34585 | Other | NC | MEDCOST INSURANCE |
| 7560128 | Other | NC | AETNA INSURANCE |
| 2468828 | Other | NC | UNITED HEALTHCARE |
| 7500692 | Other | NC | AETNA INSURANCE |
National Provider Directory
National Provider DirectoryLocations
1416 Yanceyville St
Ste 1
Greensboro, NC 27405
Phone (336) 510-5510
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Winston Salem, NC
- NPI 1104821644
-
- Pediatrics Physician
- High Point, NC
- NPI 1366447807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1841250982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1416 YANCEYVILLE ST",
"address_2": "SUITE 1",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274056955",
"telephone_number": "336-510-5510",
"fax_number": "336-510-5515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1416 YANCEYVILLE ST",
"address_2": "SUITE 1",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274056955",
"telephone_number": "336-510-5510",
"fax_number": "336-510-5515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHLEEN E. LUCAS MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LUCAS",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-510-5510",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "31329",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1200895",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INSURANCE",
"identifier": "4238847",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "790238L",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST INSURANCE",
"identifier": "E0113",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF NC",
"identifier": "013VV",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1207825",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INSURANCE",
"identifier": "5900891",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST INSURANCE",
"identifier": "B9751",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1201591",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST INSURANCE",
"identifier": "87515",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST INSURANCE",
"identifier": "34585",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INSURANCE",
"identifier": "7560128",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2468828",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INSURANCE",
"identifier": "7500692",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.