Active NPI
Joshua Robert Lucas, EP-C
- Clinical Exercise Physiologist
- Bellflower, MO
National Provider Identifier
1962101477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Exercise Physiologist
- License
- 1068300
- Practice address
- 709 S Lewis St
Bellflower, MO 63333-2118 - Phone
- (314) 497-3062
- NPI assigned
- Feb 23, 2023
- 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 |
|---|---|---|---|---|
| Clinical Exercise Physiologist | 224Y00000X | 1068300 | MO | Primary |
Addresses
Primary practice location
709 S Lewis St
Bellflower, MO 63333-2118
Mailing address
709 S Lewis St
Bellflower, MO 63333-2118
Phone (314) 497-3062
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 |
|---|---|---|---|
| 1068300 | MO | MD | Clinical Exercise Physiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1962101477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 S LEWIS ST",
"city": "BELLFLOWER",
"state": "MO",
"postal_code": "633332118",
"telephone_number": "314-497-3062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 S LEWIS ST",
"city": "BELLFLOWER",
"state": "MO",
"postal_code": "633332118",
"telephone_number": "314-497-3062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "JOSHUA",
"middle_name": "ROBERT",
"credential": "EP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-23",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": "MO",
"license": "1068300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellflower, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.