MISS JESSICA IVALLA LUCAS (NPI# 1720206436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720206436 |
| Entity Type | Individual |
| Full Name | MISS JESSICA IVALLA LUCAS |
| Practice Address |
529 Coffman St Longmont CO 80501-5450 |
| Mailing Address |
11446 Far Vw Longmont CO 80504-6280 |
| Practice Telephone | 3032454473 |
| Mailing Telephone | 9705816121 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848953 | Jessica Lea Lucas | Counselor | 59 Brimner Dr, Crawfordville, FL 32327-1257 | 2020-07-08 |
| 1437658317 | Jessica Lorraine Lucas | In Home Supportive Care | 5049 W Beverly Ln, Glendale, AZ 85306-2029 | 2018-02-06 |
| 1780936559 | Jessica Lucas | Nurse Practitioner | 2309 Ann Arbor Ave, Orlando, FL 32804-5313 | 2012-10-03 |
| 1124297429 | Jessica Rose Lucas | Case Manager/Care Coordinator | 1028 Lotts Creek Rd, Hazard, KY 41701 | 2008-02-21 |
| 1124638580 | Jessica Lynn Lucas | Counselor | 1616 E Roosevelt Rd Ste 8, Wheaton, IL 60187-6850 | 2020-07-31 |
| 1447870548 | Jessica Lucas | Behavior Technician | 5900 W Chester Rd Ste C, West Chester, OH 45069-2951 | 2020-04-20 |
| 1629607189 | Jessica L Lucas | Student in an Organized Health Care Education/Training Program | 3031 W Grand Blvd Ste 600, Detroit, MI 48202-3014 | 2020-04-06 |
| 1407340003 | Jessica Lucas | Family Medicine | 76 High St, Lewiston, ME 04240-7649 | 2018-06-18 |
| 1649724519 | Jessica Marie Lucas | Physician Assistant | 55 Fruit St, Boston, MA 02114-2621 | 2016-08-09 |
| 1750669479 | Jessica Leigh Lucas | Optometrist | 608 Stanton L Young Blvd, Oklahoma City, OK 73104 | 2011-07-29 |
| Street Address |
529 COFFMAN ST |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-5450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568466373 | Mary C Adler | Nurse Practitioner | 529 Coffman St, Ste 200, Longmont, CO 80501-5450 | 2005-06-09 |
| 1649880568 | Alysa Kipersztok | Student in an Organized Health Care Education/Training Program | 529 Coffman St, Longmont, CO 80501-5450 | 2020-08-05 |
| 1043820954 | Sara Ann Rector | Social Worker | 529 Coffman St, Longmont, CO 80501-5450 | 2020-08-05 |
| 1871102418 | Patricia Danielle Sparks | Student in an Organized Health Care Education/Training Program | 529 Coffman St, Longmont, CO 80501-5450 | 2020-07-29 |
| 1073160321 | Stephanie Treubig | Counselor | 529 Coffman St, Longmont, CO 80501-5450 | 2019-08-21 |
| 1023671773 | Joy Adeline Thomas | Counselor | 529 Coffman St, Longmont, CO 80501-5450 | 2019-04-18 |
| 1285106955 | Georgina Valdez | Counselor | 529 Coffman St, Longmont, CO 80501-5450 | 2018-12-19 |
| 1639659618 | Davis Falcon | Counselor | 529 Coffman St, Longmont, CO 80501-5450 | 2018-08-18 |
| 1528583929 | Mckenzie Lancaster | Counselor | 529 Coffman St, Longmont, CO 80501-5450 | 2017-08-07 |
| 1063889525 | Kathryn Mettman | Nurse Practitioner | 529 Coffman St, Longmont, CO 80501-5450 | 2015-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083094643 | Go Sober | Case Manager/Care Coordinator | 500 Coffman St Ste 101, Longmont, CO 80501-5445 | 2015-06-08 |
| 1871983759 | Dennis Yost | Case Manager/Care Coordinator | 3368 Longview Blvd, Longmont, CO 80504-6246 | 2015-01-29 |
| 1619394616 | Emily Mcrae | Case Manager/Care Coordinator | 3997 S Valley Dr, Unit 102, Longmont, CO 80504-8609 | 2014-03-27 |
| 1710007414 | Joann Roach | Case Manager/Care Coordinator | 1051 S Pratt Pkwy, Longmont, CO 80501-6630 | 2007-03-29 |
| 1063990489 | Danice Williamson | Case Manager/Care Coordinator | 529 Coffman St Ste 300, Longmont, CO 80501-5450 | 2018-07-30 |
| 1841705274 | Susan Hester Pomerleau | Case Manager/Care Coordinator | 529 Coffman St Ste 300, Longmont, CO 80501-5450 | 2017-12-07 |
| 1215440839 | Shawna Lila Shirazi | Case Manager/Care Coordinator | 834 S Sherman St, Longmont, CO 80501-6323 | 2017-11-06 |
| 1881095826 | Danielle Weiss | Case Manager/Care Coordinator | 3997 S Valley Dr, #102, Longmont, CO 80504-8609 | 2014-09-09 |
| 1245669431 | Transitions Chronic Care Inc | Case Manager/Care Coordinator | 424 Kimbark St, Longmont, CO 80501-5526 | 2013-11-07 |
| 1043330608 | Daniel Andrew Decino | Case Manager/Care Coordinator | 1051 S Pratt Pkwy, Longmont, CO 80501-6630 | 2007-03-29 |
| Find all providers in LONGMONT | ||||
Please comment or provide details below to improve the information on MISS JESSICA IVALLA LUCAS.
| 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.