Individual provider Active NPI

Lucia Lynette Arnold, PA-C MPAS

  • Physician Assistant
  • Pasadena, TX
National Provider Identifier
1861620288
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA03895 Issued in TX
Practice address
7106 Spencer Hwy
Pasadena, TX 77505-1806
Phone
(281) 542-9400
Fax
(281) 542-9461
NPI assigned
Jun 24, 2009
Last updated
Jun 30, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA03895 TX Primary

Addresses

Primary practice location

7106 Spencer Hwy
Pasadena, TX 77505-1806

Mailing address

106 Westheimer Rd
Suite a
Houston, TX 77006-3332
Phone (281) 542-9400

Other names 1

  • Lucia Lynette Mangle Arnold Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160428001121 TX Order and Referring Only - Physician Assistant 1355640111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA03895TXMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: lucia.mangle@baoc.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1861620288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WESTHEIMER RD",
            "address_2": "SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770063332",
            "telephone_number": "281-542-9400",
            "fax_number": "281-542-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7106 SPENCER HWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775051806",
            "telephone_number": "281-542-9400",
            "fax_number": "281-542-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "LUCIA",
        "middle_name": "LYNETTE",
        "credential": "PA-C MPAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCIA",
            "last_name": "MANGLE ARNOLD",
            "middle_name": "LYNETTE",
            "credential": "PA-C MPAS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.