Active NPI
Travis Lucas, RD, LMNT
- Registered Dietitian
- Lincoln, NE
National Provider Identifier
1932385275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 871
- Practice address
- 5020 N 27TH St
Lincoln, NE 68521-1196 - Phone
- (402) 477-4764
- Fax
- (402) 477-1802
- NPI assigned
- Jan 17, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 871 | NE | Primary |
Addresses
Primary practice location
5020 N 27TH St
Lincoln, NE 68521-1196
Mailing address
5020 N 27TH St
Lincoln, NE 68521-1196
Phone (402) 477-4764
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 871 | NE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364428800000",
"number": "1932385275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5020 N 27TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685211196",
"telephone_number": "402-477-4764",
"fax_number": "402-477-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5020 N 27TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685211196",
"telephone_number": "402-477-4764",
"fax_number": "402-477-1802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "TRAVIS",
"name_prefix": "Mr.",
"credential": "RD, LMNT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-17",
"last_updated": "2013-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NE",
"license": "871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.