MS. CATHERINE LUCKER (NPI# 1063781904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063781904 |
| Entity Type | Individual |
| Full Name | MS. CATHERINE LUCKER |
| Practice Address |
2425 E Southlake Blvd Southlake TX 76092-6674 |
| Practice Telephone | 8174420222 |
| Mailing Telephone | 8174420222 |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZA2600X |
Specialist/Technologist, Other Specialization: Art, Medical |
TX | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 17444000X | 01 |
| Street Address |
2425 E SOUTHLAKE BLVD |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-6674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902075088 | Monica J Johnson | Occupational Therapist | 2425 E Southlake Blvd, Pedia Plex Suite 100, Southlake, TX 76092-6674 | 2008-02-22 |
| 1003428178 | Chloe Vongphachanh | Behavior Technician | 2425 E Southlake Blvd, Southlake, TX 76092-6674 | 2020-08-20 |
| 1508478678 | Brayden Gruenewald | Behavior Technician | 2425 E Southlake Blvd, Southlake, TX 76092-6674 | 2020-08-20 |
| 1174135248 | Erick Quintero | Behavior Technician | 2425 E Southlake Blvd, Southlake, TX 76092-6674 | 2020-08-20 |
| 1942818521 | Destiny Hicks | Behavior Technician | 2425 E Southlake Blvd, Southlake, TX 76092-6674 | 2020-07-20 |
| 1265050157 | Amanda Siple | Behavior Technician | 2425 E Southlake Blvd, Southlake, TX 76092-6674 | 2020-07-08 |
| 1043838931 | Bouagnan Johann Pitah | Behavior Technician | 2425 E Southlake Blvd, Southlake, TX 76092-6674 | 2020-07-08 |
| 1265057020 | Karla Villagran | Behavior Technician | 2425 E Southlake Blvd, Southlake, TX 76092-6674 | 2020-06-08 |
| 1104441971 | Halle Williams | Behavior Technician | 2425 E Southlake Blvd, Southlake, TX 76092-6674 | 2020-06-08 |
| 1346865102 | Javiera Campos | Behavior Technician | 2425 E Southlake Blvd, Southlake, TX 76092-6674 | 2020-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 246ZA2600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Art, Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294605 | Seungeun Szczechowski | Specialist/Technologist, Other | 8308 Preston Rd Bldg 200, Suite 259, Plano, TX 75024 | 2020-04-20 |
| 1184268609 | Terry Lynn Lively | Specialist/Technologist, Other | 18819 Fm 2252 Ste 5b, San Antonio, TX 78266-2580 | 2019-10-29 |
| 1194379453 | Standard Sleep Centers | Specialist/Technologist, Other | 10020 Research Forest Dr Ste C, The Woodlands, TX 77354-6780 | 2019-07-25 |
| 1114455656 | Candice Renee Rios | Specialist/Technologist, Other | 6201 Sunset Dr Ste 650, Fort Worth, TX 76116-5521 | 2017-05-29 |
| 1851832497 | Summer France | Specialist/Technologist, Other | 8415 Datapoint Dr Ste 800, San Antonio, TX 78229-3285 | 2017-03-15 |
| 1609320399 | Ashlei Daugherty | Specialist/Technologist, Other | 12345 N Lamar Blvd, Suite 260, Austin, TX 78753-1337 | 2016-08-10 |
| 1326367921 | Diane G Lucio | Specialist/Technologist, Other | 3800 Perrin Central Blvd, 318, San Antonio, TX 78217-2794 | 2010-05-21 |
| 1538366695 | Heather Simmons | Specialist/Technologist, Other | 14427 Brook Hollow Blvd, 247, San Antonio, TX 78232-3826 | 2007-06-29 |
| 1093345829 | Home Sleep of Texas | Specialist/Technologist, Other | 6655 Travis St Ste 850, Houston, TX 77030-1317 | 2020-01-21 |
| 1922577972 | Pinacle Diagnostic Sleep Center | Specialist/Technologist, Other | 6655 Travis St Ste 850, Houston, TX 77030-1317 | 2018-11-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.