Individual provider Active NPI

Lucas Nickolas Tonies, FNP-C

  • Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1871473413
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95036997 Issued in CA
Practice address
490 Post St Ste 500
San Francisco, CA 94102-1406
Phone
(415) 373-6466
NPI assigned
Sep 4, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95036997 CA Primary
Nurse Practitioner 363L00000X 58405 WY
Nurse Practitioner 363L00000X 341478 AZ
Nurse Practitioner 363L00000X 11042054 FL
Nurse Practitioner 363L00000X 87858 NM
Nurse Practitioner 363L00000X AP70074938 WA

Addresses

Primary practice location

490 Post St Ste 500
San Francisco, CA 94102-1406

Mailing address

490 Post St Ste 500
San Francisco, CA 94102-1406
Phone (415) 373-6466

Other identifiers 1

IdentifierTypeStateIssuer
127551600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20251209001484 FL Practitioner - Nurse Practitioner 0648764548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Je Harris NursingGroup PAC ID 4385164615, 2 clinicians

Practice addresses (Care Compare)

16215 Biscayne Blvd
Suite 131
Aventura, FL 33160-4300
Phone (786) 744-5152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11042054FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Je Harris Nursing Endocrinology, Diabetes & Metabolism CurrentSince Oct 1, 2025 Accepting new patients
Creatively Clinic LLC PastSince Sep 8, 2025 Accepting new patients

Locations

16215 Biscayne Blvd
Ste 131
Aventura, FL 33160
Phone (415) 373-7118

12555 Biscayne Blvd
North Miami, FL 33181
Phone (305) 379-4442

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1871473413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 POST ST STE 500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021406",
            "telephone_number": "415-373-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 POST ST STE 500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021406",
            "telephone_number": "415-373-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONIES",
        "first_name": "LUCAS",
        "middle_name": "NICKOLAS",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-04",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95036997",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WY",
            "license": "58405",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "341478",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11042054",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "87858",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP70074938",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127551600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.