Rena Kathlene Lukasik, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04260 Issued in TX

Practice address

SFMC Ricker Rd
BLDG 2496
Ft Bliss, TX 79916

Phone

(915) 568-3088

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Mountain Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Lewisburg, WV
  • NPI 1073814513
  NPD (past)
• Patel & Patel MD Inc

  • Obstetrics & Gynecology Physician
  • South Charleston, WV
  • NPI 1467535450
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1932246147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18511 HIGHLANDER MEDICS ST",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "799065327",
            "telephone_number": "915-742-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SFMC RICKER RD",
            "address_2": "BLDG 2496",
            "city": "FT BLISS",
            "state": "TX",
            "postal_code": "79916",
            "telephone_number": "915-568-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKASIK",
        "first_name": "RENA",
        "middle_name": "KATHLENE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "TX",
            "license": "PA04260",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colin Thomas Linthicum, M.D.
• Sandra D Lloyd, NURSE CASE MANAGER
• Yesenia Anayeli Lomas
• Derek Lowe, MD
• Nancy Ann Lozano
• Troy Kirk Lundell, DMD
• Austin Michael Lundgren, DO
• Molly Caitlin Lynch, LCSW
• Robert Maddox
• Cristina Martinez Madison

• Physician Assistant in Ft Bliss, TX
• Providers in Ft Bliss, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.