ROBERTA ANN LUCAS (NPI# 1568538528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568538528 |
Entity Type | Individual |
Full Name | ROBERTA ANN LUCAS |
Credential | APRN |
Practice Address |
835 E 4800 S Murray UT 84107-5040 |
Mailing Address |
8144 S Oak Creek Dr Sandy UT 84093-6515 |
Practice Telephone | 8016225418 |
Mailing Telephone | 8018913680 |
Enumeration Date | 2006-11-28 |
Last Update Date | 2019-09-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
225-249-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LX0106X |
Nurse Practitioner Specialization: Occupational Health |
225-249-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1950 Fort Union Blvd, Salt Lake City, UT 841216894 | 8019433300 | 8019433461 |
8302 S Brighton Loop Rd, Brighton, UT 841219737 | 4356553205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770515199 | Roberta Ward Lucas | Pediatrics | 595 E Crossville Rd, Ste 100, Roswell, GA 30075-5818 | 2006-07-07 |
1326089061 | Roberta Lucas | Dermatology | 18 Old Etna Rd, Dh Dermatology, Lebanon, NH 03756 | 2006-06-10 |
Street Address |
835 E 4800 S |
City | MURRAY |
State | UT |
Zip Code | 84107-5040 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326017542 | Blaine G. Campbell | Nurse Practitioner | 835 E 4800 S, Suite 230, Murray, UT 84107 | 2006-03-17 |
1912464397 | Alice Dughi | Counselor | 835 E 4800 S, Murray, UT 84107-5040 | 2019-02-21 |
1912427139 | Brittany Kaye Gardiner | Nurse Practitioner | 835 E 4800 S, Ste 230, Murray, UT 84107-5535 | 2017-06-20 |
1093183873 | Marcia Pinkerman | Nurse Practitioner | 835 E 4800 S, Suite 230, Murray, UT 84107 | 2015-09-09 |
1174915367 | Sally Ann Epperson | Nurse Practitioner | 835 E 4800 S, Suite 230, Murray, UT 84107 | 2015-02-24 |
1679974968 | Alisha Richins | Nurse Practitioner | 835 E 4800 S, Suite 230, Murray, UT 84107 | 2014-09-06 |
1457764714 | Lindsey Marie Brown | Nurse Practitioner | 835 E 4800 S, Suite 230, Murray, UT 84107 | 2014-06-04 |
1134417181 | Inspiration Home Health LLC | Home Health | 835 E 4800 S, Suite 110, Murray, UT 84107-5040 | 2011-07-12 |
1609819440 | Inspiration Hospice LLC | Hospice Care, Community Based | 835 E 4800 S, Suite 110, Murray, UT 84107-5040 | 2006-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
Find all providers in zip 84107 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609104553 | Denise Westover | Nurse Practitioner | 5169 S. Cottonwood St, Ste. 520, Murray, UT 84107 | 2009-12-03 |
1568457398 | Jennie Kaye Bourne | Nurse Practitioner | 300 S 8th St Ste 401e, Murray, KY 42071 | 2005-09-19 |
1568976579 | Andrew James Aloia | Nurse Practitioner | 5131 S Cottonwood St, Murray, UT 84107-5701 | 2017-11-29 |
1184148447 | Karyn Peirce | Nurse Practitioner | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2017-07-28 |
1932513702 | Stephanie Nason | Nurse Practitioner | 1000 S 12th St, Murray, KY 42071-9303 | 2014-06-19 |
1700110103 | Kathleen Farrell | Nurse Practitioner | 1005 Poplar St, Murray, KY 42071-2436 | 2009-10-01 |
1356508857 | Kimberly Dawn Megwalu | Nurse Practitioner | 5250 S 320 W, Suite 305, Murray, UT 84107-7926 | 2008-05-21 |
1164698312 | Christopher Michael Poch | Nurse Practitioner | 5121 South Cottonwood Drive, Murray, UT 84157 | 2008-05-07 |
1992828958 | Kayleen Terry | Nurse Practitioner | 5323 Woodrow St, Ste 102, Murray, UT 84107-5841 | 2007-04-06 |
1801942255 | Virginia Grider | Nurse Practitioner | 310 N 4th St, Murray, KY 42071-2002 | 2007-01-26 |
Find all providers in MURRAY |
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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.