Active NPI
Jay R. Lucker
- Audiologist
- Reston, VA
National Provider Identifier
1891663050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2201001134
- Practice address
- 1900 Campus Commons Dr Ste 100
Reston, VA 20191-1535 - Phone
- (301) 254-8583
- NPI assigned
- Oct 28, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2201001134 | VA | Primary |
Addresses
Primary practice location
1900 Campus Commons Dr Ste 100
Reston, VA 20191-1535
Mailing address
1900 Campus Commons Dr Ste 100
Reston, VA 20191-1535
Phone (301) 254-8583
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 |
|---|---|---|---|
| 2201001134 | VA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761609600000",
"number": "1891663050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 CAMPUS COMMONS DR STE 100",
"city": "RESTON",
"state": "VA",
"postal_code": "201911535",
"telephone_number": "301-254-8583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 CAMPUS COMMONS DR STE 100",
"city": "RESTON",
"state": "VA",
"postal_code": "201911535",
"telephone_number": "301-254-8583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCKER",
"first_name": "JAY",
"middle_name": "R.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-28",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "VA",
"license": "2201001134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.