JENNIFER RAUN LUCAS (NPI# 1356893549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356893549 |
| Entity Type | Individual |
| Full Name | JENNIFER RAUN LUCAS |
| Credential | PA-C |
| Practice Address |
3015 E Magic View Dr Meridian ID 83642-3757 |
| Practice Telephone | 2083214000 |
| Mailing Telephone | 2083214000 |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1422 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598327439 | Jennifer Lucas | Marriage & Family Therapist | 160 W Center Street Promenade Unit 112, Anaheim, CA 92805-3986 | 2019-07-01 |
| 1033674858 | Jennifer Lucas | Behavior Technician | 12356 Prince Rd, Norwood, NC 28128-7599 | 2019-02-06 |
| 1770936460 | Jennifer Lucas | Nurse's Aide | 12820 E Sneed Ct, Pembroke Township, IL 60958-2900 | 2016-07-18 |
| 1548620727 | Jennifer Lucas | Veterinarian | 9235 Tibet Pointe Cir, Windermere, FL 34786-5632 | 2016-03-01 |
| 1770898736 | Jennifer Lin Lucas | Pharmacist | 4141 E Judge Perez Drive, Meraux, LA 70075-2670 | 2010-08-16 |
| 1598991754 | Jennifer Lynn Lucas | Occupational Therapist | 66 Yorkshire Dr, East Greenbush, NY 12061-1414 | 2009-06-02 |
| 1588828743 | Jennifer Meirinho Lucas | Social Worker | 540 N California Street, Stockton, CA 95202 | 2008-07-16 |
| 1831374891 | Jennifer A Lucas | Speech-Language Pathologist | 19 Lansing Ln, Palm Coast, FL 32137 | 2008-01-08 |
| 1487768289 | Jennifer C. Lucas | Physical Therapist | 103 S Pioneer Rd, Fond Du Lac, WI 54935-3871 | 2006-08-18 |
| 1215436977 | Jennifer Lucas | Behavioral Analyst | 1101 Arrow Point Dr, Cedar Park, TX 78613-7737 | 2018-02-08 |
| Street Address |
3015 E MAGIC VIEW DR |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-3757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801073655 | Tracy D. Mickelsen | Physician Assistant | 3015 E Magic View Dr, Meridian, ID 83642-3743 | 2008-01-23 |
| 1629686720 | Hope Elizabeth Whitman | Physical Therapist | 3015 E Magic View Dr, Meridian, ID 83642-3743 | 2020-07-15 |
| 1245778208 | Direct Orthopedic Care LLC | Orthopaedic Surgery | 3015 E Magic View Dr, Ste 115, Meridian, ID 83642-3757 | 2017-02-09 |
| 1760840987 | Allied Orthopaedics, LLC | Orthopaedic Surgery | 3015 E Magic View Dr, Suite 120, Meridian, ID 83642-3743 | 2016-02-02 |
| 1598190571 | Chelsea Leigh Beyers | Physical Therapist | 3015 E Magic View Dr, Suite 100, Meridian, ID 83642-3757 | 2013-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174164305 | Tessie Mari Mcinnally | Physician Assistant | 3015 E Magic View Dr # 115, Meridian, ID 83642-3743 | 2019-09-29 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1790224905 | Yustina Nader Rafla | Physician Assistant | 520 S Eagle Rd Ste 1243, Meridian, ID 83642-6355 | 2017-02-21 |
| 1295163160 | Kalyn Baisley | Physician Assistant | 360 E Montvue Dr # 100, Meridian, ID 83642-6318 | 2013-10-31 |
| 1063601177 | Richard A Trump | Physician Assistant | 3015 E Magic View Dr Ste 120, Meridian, ID 83642-3750 | 2007-10-15 |
| 1740476969 | Laura B Allen | Physician Assistant | 1618 Millenium Way Ste 100, Meridian, ID 83642-6457 | 2007-09-20 |
| 1568499713 | Brian D Friedt | Physician Assistant | 1618 S. Millennium Way, Suite 100, Meridian, ID 83642-6457 | 2006-06-26 |
| 1114966959 | Stephen J Frelly | Physician Assistant | 1618 S Millenium Way Ste 100, Meridian, ID 83642-6457 | 2006-06-06 |
| 1114964616 | Amber M Vickers | Physician Assistant | 1623 S. Wells Avenue, Meridian, ID 83642 | 2006-06-01 |
| 1336196757 | Kathleen Rose Nielsen | Physician Assistant | 3041 E Copper Point Dr, Meridian, ID 83642-1740 | 2006-05-30 |
| Find all providers in MERIDIAN | ||||
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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.