Nicole Lucia, PPS CREDENTIAL

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

190109375 Issued in CA

Practice address

84 E J St
Chula Vista, CA 91910-6115

Phone

(619) 425-9600

NPI assigned

Apr 27, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Chula Vista Elementary School District

  • Local Education Agency (LEA)
  • Chula Vista, CA
  • NPI 1306994470
  NPD

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1972124394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11255 TIERRASANTA BLVD UNIT 124",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242890",
            "telephone_number": "760-807-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 E J ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106115",
            "telephone_number": "619-425-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 E Palomar St",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919132895",
            "country_code": "US",
            "telephone_number": "619-397-5828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCIA",
        "first_name": "NICOLE",
        "credential": "PPS CREDENTIAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "190109375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachell Ann Abad Luangrath, NP
• Iris Vivien Agcaoili Lucena
• Jesus Armando Lucero, DPT
• Vanessa Lucero
• Virginia Lucero
• Denelle Lucido
• Stephanie Tamalaya Lucien
• Melissa Lucio
• Kathleen Mae Luffman
• Sharon Nicole Lugo, MED

• School Psychologist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.