MS. REBECCA TERESA LUCAS (NPI# 1710420906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710420906 |
| Entity Type | Individual |
| Full Name | MS. REBECCA TERESA LUCAS |
| Credential | FNP-C |
| Practice Address |
5304 E Southern Ave Suite 110 Mesa AZ 85206-3623 |
| Mailing Address |
5304 E Southern Ave Mesa AZ 85206-3623 |
| Practice Telephone | 4802373040 |
| Mailing Telephone | 4802373040 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP9655 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AZ STATE BOARD OF NURSING ADVANCED PRACTICE LICENSE | AZ9655 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205216900 | Rebecca Lucas | Licensed Practical Nurse | 2204 Crescent Blvd, Middletown, OH 45042-2252 | 2015-06-08 |
| 1922081140 | Rebecca Lucas | Emergency Medicine | Psc 827 Box 78, Apo, AE 09617-0078 | 2005-11-22 |
| 1245848050 | Rebecca Lucas | Speech-Language Pathologist | 1107 W Broadway St, Ardmore, OK 73401-2833 | 2020-07-17 |
| 1184257156 | Rebecca Lucas | Case Manager/Care Coordinator | 115 Private Road 977, Pedro, OH 45659-8608 | 2020-02-19 |
| 1295129138 | Rebecca Lucas | Counselor | 210 Avenue C, Danville, IL 61832-5410 | 2015-03-27 |
| 1316292915 | Rebecca Lucas | Pharmacist | 518 Donelson Pike, Nashville, TN 37214-3729 | 2012-07-19 |
| 1003161951 | Rebecca Elizabeth Lucas | Physical Therapist | 111 Spring St, Streator, IL 61364-3332 | 2012-07-17 |
| 1386895951 | Rebecca Lynne Lucas | Occupational Therapist | 5225 Wilson Ln, Mechanicsburg, PA 17055-6663 | 2008-10-01 |
| 1487811097 | Rebecca L Lucas | Nurse Practitioner | 2203 W Lampasas St, Ennis, TX 75119-5666 | 2008-05-21 |
| 1740226182 | Rebecca L Lucas | Nurse Practitioner | 4880 Century Plaza Rd, Ste 250, Indianapolis, IN 46254-5471 | 2006-06-22 |
| Street Address |
5304 E SOUTHERN AVE SUITE 110 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-3623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114991171 | Deanna Lynn Bullaro-anderer | Obstetrics & Gynecology | 5304 E Southern Ave, Ste 110, Mesa, AZ 85206-3623 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926410 | Matthew Derrick Miller | Nurse Practitioner | 9354 E Thatcher Cir, Mesa, AZ 85212-8539 | 2020-09-12 |
| 1750995858 | Hayley Madler | Nurse Practitioner | 1061 N Omaha Cir, Mesa, AZ 85205-5023 | 2020-09-04 |
| 1043823800 | Nancy Lynn Mitchell | Nurse Practitioner | 1535 N 26th St, Mesa, AZ 85213-4151 | 2020-08-30 |
| 1003429218 | Krista Ann Clevenger | Nurse Practitioner | 3155 E Southern Ave Ste 203, Mesa, AZ 85204-5521 | 2020-08-26 |
| 1093326290 | Joshua Jackson | Nurse Practitioner | 5432 E Southern Ave Ste 101b, Mesa, AZ 85206-2772 | 2020-08-11 |
| 1790395531 | Kelly C Banonis | Nurse Practitioner | 3322 N Brighton, Mesa, AZ 85207-0997 | 2020-08-06 |
| 1689284911 | Katie Keil | Nurse Practitioner | 1061 N Dobson Rd Ste 107, Mesa, AZ 85201-7576 | 2020-08-02 |
| 1831711670 | Saraswati Hamal | Nurse Practitioner | 4850 S Curie Way, Mesa, AZ 85212-9582 | 2020-05-14 |
| 1013539568 | Wingfoot Wellness & Hormones LLC | Nurse Practitioner | 2500 S Power Road, Building 7 Suite 218, Mesa, AZ 85209 | 2020-05-07 |
| 1659992436 | Elizabeth Erb | Nurse Practitioner | 1361 S Alma School Rd, Mesa, AZ 85210-2085 | 2020-05-02 |
| Find all providers in MESA | ||||
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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.