Active NPI
Lucus Tate, DNP, FNP-C
- Family Nurse Practitioner
- Galax, VA
National Provider Identifier
1861378069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 232757
- Practice address
- 112 Painter St
Galax, VA 24333-3828 - Phone
- (276) 293-9642
- NPI assigned
- Aug 13, 2025
- Last updated
- Oct 10, 2026
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 232757 | NC | Primary |
Addresses
Primary practice location
112 Painter St
Galax, VA 24333-3828
Mailing address
112 Painter St
Galax, VA 24333-3828
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 |
|---|---|---|---|
| 232757 | NC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791590400000",
"number": "1861378069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 PAINTER ST",
"city": "GALAX",
"state": "VA",
"postal_code": "243333828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 PAINTER ST",
"city": "GALAX",
"state": "VA",
"postal_code": "243333828",
"telephone_number": "276-293-9642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATE",
"first_name": "LUCUS",
"name_prefix": "Dr.",
"credential": "DNP, FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-13",
"last_updated": "2026-10-10",
"certification_date": "2026-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "232757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.