Individual provider Active NPI

Lucretia Hull

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1922876416
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
873466 Issued in NV
Practice address
2705 W Horizon Ridge Pkwy
Henderson, NV 89052-4434
Phone
(702) 880-4193
NPI assigned
Dec 14, 2023
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 873466 NV Primary

Addresses

Primary practice location

2705 W Horizon Ridge Pkwy
Henderson, NV 89052-4434

Mailing address

2705 W Horizon Ridge Pkwy
Henderson, NV 89052-4434
Phone (702) 880-4193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20240312003394 NV Practitioner - Nurse Practitioner 0840635298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctors Center at Red Rock Capobianco PLLCGroup PAC ID 6204156763, 14 clinicians

Practice addresses (Care Compare)

1681 W Horizon Ridge Pkwy
Henderson, NV 89012-3494
Phone (702) 998-5549

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
873466NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Valley Surgery Center, LLC CurrentSince Dec 17, 2023 Accepting new patients
Las Vegas Pain Institute and Medical Center, LLC CurrentSince Feb 28, 2024 Accepting new patients
Doctors Center at Red Rock Capobianco PLLC CurrentSince Oct 28, 2024 Accepting new patients
Comprehensive Urgent Care Past Accepting new patients
Kuhl Consulting LV Past Accepting new patients

Locations

1681 W Horizon Ridge Pkwy
Henderson, NV 89012
Phone (702) 564-1234

2705 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 227-4440

1050 E Sahara Ave
Las Vegas, NV 89104

2801 N Tenaya Way
Ste C
Las Vegas, NV 89128
Phone (702) 684-7800

3835 S Jones Blvd
Ste 103
Las Vegas, NV 89103
Phone (702) 220-4193

3835 S Jones Blvd
Ste 104
Las Vegas, NV 89103
Phone 7028804193750

4616 W Sahara Ave
#337
Las Vegas, NV 89102

7220 S Cimarron Rd
Ste 155
Las Vegas, NV 89113
Phone (702) 577-4471

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBFEDD
  • Direct secure messaging: lucretia.hull.1@32704.direct.athenahealth.com

Organizations & group practices 5

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": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1922876416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 W HORIZON RIDGE PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524434",
            "telephone_number": "702-880-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 W HORIZON RIDGE PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524434",
            "telephone_number": "702-880-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "LUCRETIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "873466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.