Individual provider Active NPI

Lucas Leos Lopez, FNP-C

  • Family Nurse Practitioner
  • Cleburne, TX
National Provider Identifier
1912503160
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1016727 Issued in TX
Practice address
1208 W Henderson St Ste a
Cleburne, TX 76033-8773
Phone
(682) 317-1500
NPI assigned
Dec 11, 2020
Last updated
Dec 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 1016727 TX Primary

Addresses

Primary practice location

1208 W Henderson St Ste a
Cleburne, TX 76033-8773

Mailing address

2903 Cactus Dr
Big Spring, TX 79720-6316
Phone (432) 816-2372

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
I20211007001300 TX Practitioner - Nurse Practitioner 4789082603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians

Practice addresses (Care Compare)

2000 FM
663 Suite 160
Midlothian, TX 76065-6559
Phone (469) 856-2476

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1016727TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas J. Hong, DO, PLLC Single Specialty Current Accepting new patients
Value Urgent Care Clinics of Texas PLLC Single Specialty CurrentSince Mar 1, 2022 Accepting new patients
Brian Nelson MD PLLC Single Specialty CurrentSince Mar 1, 2022 Accepting new patients

Locations

1208 W Henderson St
Cleburne, TX 76033
Phone (682) 317-1500

1208 W Henderson St
Ste A
Cleburne, TX 76033
Phone (682) 317-1500

1208 W Henderson St
Ste C
Cleburne, TX 76033
Phone (682) 317-1537

2401 Canton Dr
Ft Worth, TX 76112
Phone (682) 301-3400

1450 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 726-2073

1450 W Pleasant Run Rd
Ste 104
Lancaster, TX 75146
Phone (469) 726-2073

1450 W Pleasant Run Rd
Ste 104B
Lancaster, TX 75146
Phone (682) 549-8333

120 N Miller Rd
Ste 300
Mansfield, TX 76063
Phone (682) 341-7510

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: lucas.lopez.1@24166.direct.athenahealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1912503160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 CACTUS DR",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797206316",
            "telephone_number": "432-816-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 W HENDERSON ST STE A",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760338773",
            "telephone_number": "682-317-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "LUCAS",
        "middle_name": "LEOS",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1016727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

Verify at the official NPI Registry.