Tracey Ann Lucas

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5017806 Issued in NC

Practice address

7496 Rockfish Rd
Fayetteville, NC 28306-8076

Phone

(910) 424-2905

NPI assigned

Apr 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1982283149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PADDOCK LN",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872948",
            "telephone_number": "614-632-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7496 ROCKFISH RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283068076",
            "telephone_number": "910-424-2905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9201 E Mountain View Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852585172",
            "country_code": "US",
            "telephone_number": "877-564-3627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "TRACEY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "CNP0028534",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "CNP0028534",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5017806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982283149",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Ann Lucas, PA-C
• Erica Danielle Lucas
• Lauretta Lucas
• Mark Lucas
• Tammy Gail Lucas, AG-ACNP, ENP, WHNP
• Aiko Lucchetti
• Melissa Luckowski
• Danielle Ludwick
• Lenay Darlene Ludwig, MA-CCC-SLP
• Kelly Rae Ludwigsen, M.ED.

• Family Nurse Practitioner in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.