SHANNON DEAN LUCAS


Address: 3345 Plaza 10 Dr, Suite E, Beaumont, TX 77707-2554
Phone: 4098382626

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
629586 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 146102201 05

Other Providers SHANNON LUCAS

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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

Office Location

Street Address 3345 PLAZA 10 DR
SUITE E
City BEAUMONT
State TX
Zip Code 77707-2554

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City BEAUMONT
Zip Code 77707

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Dataset Information

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.

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