SHANNON DEAN LUCAS (NPI# 1790756898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790756898 |
Entity Type | Individual |
Full Name | SHANNON DEAN LUCAS |
Credential | FNP |
Practice Address |
3345 Plaza 10 Dr Suite E Beaumont TX 77707-2554 |
Mailing Address |
3619 11th St Beaumont TX 77705-9233 |
Practice Telephone | 4098382626 |
Practice Fax Number | 4098381980 |
Mailing Telephone | 4097490377 |
Enumeration Date | 2006-01-28 |
Last Update Date | 2007-07-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
629586 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 146102201 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386254977 | Shannon Lucas | Technician | 1206 Walnut St, Hinton, WV 25951-9769 | 2020-08-07 |
1023618832 | Shannon N Lucas | Homemaker | 1614 S Kanawha St, Beckley, WV 25801-6239 | 2020-10-30 |
1285241539 | Shannon Renae Lucas | Case Manager/Care Coordinator | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2020-09-29 |
1467858365 | Shannon Lucas | Physical Therapist | 13638 Sibley Rd, Riverview, MI 48193-7406 | 2014-11-05 |
1013281310 | Shannon L Lucas | Counselor | 100 Caldwell Dr, Du Bois, PA 15801-1152 | 2012-03-05 |
1578624656 | Shannon Hart Lucas | Emergency Medicine | 3400 Spruce St, 1 Maloney Building, Philadelphia, PA 19104-4206 | 2006-12-13 |
Street Address |
3345 PLAZA 10 DR SUITE E |
City | BEAUMONT |
State | TX |
Zip Code | 77707-2554 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932102290 | Mark Kevin Harmon | Ophthalmology | 3345 Plaza 10 Dr, Ste B, Beaumont, TX 77707-2553 | 2005-05-31 |
1306259742 | Rahul Patri Md Pllc | Internal Medicine | 3345 Plaza 10 Dr, Ste E, Beaumont, TX 77707-2554 | 2014-06-03 |
1235474834 | Michael L. Smith, M.d., P.a. | Internal Medicine | 3345 Plaza 10 Dr, Suite E, Beaumont, TX 77707-2554 | 2012-12-07 |
1467719237 | Craig Joseph Meaux Jr. | Ophthalmology | 3345 Plaza 10 Dr, Suite B, Beaumont, TX 77707-2554 | 2012-04-18 |
1790881373 | Michael Leigh Smith | Internal Medicine | 3345 Plaza 10 Dr, E, Beaumont, TX 77707-2554 | 2006-09-15 |
1649249152 | Robert Leldon Sweet | Internal Medicine | 3345 Plaza 10 Dr, Suite E, Beaumont, TX 77707-2554 | 2006-03-16 |
1114996006 | Cardiac Consultants Pa | Nuclear Medicine | 3345 Plaza 10 Dr, Suite E, Beaumont, TX 77707-2553 | 2006-03-14 |
1124003454 | Eye Centers of Southeast Texas LLP | Ophthalmology | 3345 Plaza 10 Dr, Suite B, Beaumont, TX 77707-2554 | 2005-12-09 |
1114902442 | Southeast Texas Eye Specialists, Pllc | Eyewear Supplier (Equipment, not the service) | 3345 Plaza 10 Dr, Suite B, Beaumont, TX 77707-2554 | 2005-12-09 |
1578564530 | Vivek Raizada | Ophthalmology | 3345 Plaza 10 Dr, Suite B, Beaumont, TX 77707-2554 | 2005-08-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437718004 | Kelsey Marie Burt | Speech-Language Pathologist | 87 I-10, Beaumont, TX 77707 | 2019-06-07 |
1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
1598321663 | Kacy Keitha Priddy | Occupational Therapist | 1846 I-10 S, Suite 102, Beaumont, TX 77707 | 2019-05-14 |
1144791963 | Jeffery Ray Manzer | Counselor | 3350 Dowlen Rd Suite J, Beaumont, TX 77707 | 2018-12-06 |
1497247217 | Haley Hebert | Speech-Language Pathologist | 87 I 10 N, Suite 225, Beaumont, TX 77707 | 2018-06-06 |
1548712383 | Taylor Miguez | Speech-Language Pathologist | 87 I-10 Frontage Rd #225, Beaumont, TX 77707 | 2016-10-27 |
1720534043 | Jacie Woodson | Speech-Language Pathologist | 87 I-10 Frontage Rd. 225, Beaumont, TX 77707 | 2016-08-28 |
1285187047 | Paula Boudreaux | Speech-Language Pathologist | 87 I-10 Frontage Rd, Suite 225, Beaumont, TX 77707 | 2016-07-28 |
1790138568 | Meagan Alyse Hartwick | Speech-Language Pathologist | 87 I-10 Frontage Rd., 225, Beaumont, TX 77707 | 2016-07-18 |
1376992578 | Laurie Lynette Jansky | Family Medicine | 3650 Laurel Ave, Beaumont, TX 77707 | 2016-06-08 |
Find all providers in zip 77707 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033725718 | Wendi Ellen Ames | Nurse Practitioner | 350 Pine St Ste 755, Beaumont, TX 77701-2437 | 2020-09-18 |
1093340697 | Amber Tenille Goldsmith | Nurse Practitioner | 4347 Phelan Blvd, Beaumont, TX 77707-2159 | 2020-03-04 |
1851925267 | Trey Perkins | Nurse Practitioner | 3650 N Major Dr Ste A, Beaumont, TX 77713-9573 | 2020-02-25 |
1972141158 | Lisa Marie Davila | Nurse Practitioner | 14870 Michelle Ln, Beaumont, TX 77713-2308 | 2019-12-18 |
1467095224 | Fines Pafira Pruett | Nurse Practitioner | 35232 Hogan Dr, Beaumont, CA 92223-7407 | 2019-10-24 |
1952944399 | Kevin Ray Jones | Nurse Practitioner | 6040 Carrie Ln, Beaumont, TX 77713-4192 | 2019-10-17 |
1447891320 | Summer Mcclain | Nurse Practitioner | 740 Hospital Dr Ste 250, Beaumont, TX 77701-4666 | 2019-10-02 |
1114579059 | Amy Rae Hederman | Nurse Practitioner | 3070 College St Ste 100b, Beaumont, TX 77701-4652 | 2019-07-11 |
1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
1548824253 | Lisa Marie Leger | Nurse Practitioner | 3129 College St Ste 200, Beaumont, TX 77701-4682 | 2019-04-29 |
Find all providers in BEAUMONT |
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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.