MRS. ELIZABETH ANNE LUCAS (NPI# 1871815712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871815712 |
Entity Type | Individual |
Full Name | MRS. ELIZABETH ANNE LUCAS |
Other Name | MISS ELIZABETH ANNE PEABODY |
Credential | RN |
Practice Address |
17141 Ryan Rd Detroit MI 48212-1112 |
Practice Telephone | 3133691717 |
Mailing Telephone | 3133691717 |
Enumeration Date | 2010-02-19 |
Last Update Date | 2010-09-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
4704211535 | MI | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4704211535 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053735324 | Elizabeth Lucas | Occupational Therapist | 8425 Pulsar Pl Ste 160, Columbus, OH 43240-2080 | 2014-02-07 |
1538480447 | Elizabeth Anne Lucas | Registered Nurse | N2444 Doris St, Delavan, WI 53115-3379 | 2010-06-15 |
1710042726 | Elizabeth Lucas | Emergency Medicine | 241 Clarkson Rd, Suite 103, Ellisville, MO 63011-2219 | 2006-12-27 |
1780202556 | Elizabeth Lucas | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2020-07-08 |
1114546538 | Elizabeth Anne Lucas | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-04-15 |
1689184434 | Elizabeth Jane Lucas | Physical Therapy Assistant | 587 Se Ermine Ave, Lake City, FL 32025-6126 | 2017-10-06 |
1780135590 | Elizabeth Lucas | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2016-10-17 |
1013362409 | Elizabeth Lucas | Behavioral Analyst | 40849 Fremont Blvd, Fremont, CA 94538-4306 | 2016-05-04 |
1346524154 | Elizabeth S. Lucas | Family Medicine | 251 S Pine St, Pineville, KY 40977-1646 | 2011-09-29 |
1194941112 | Elizabeth J. Lucas | Internal Medicine | 700 Childrens Dr, Columbus, OH 43205-2664 | 2007-04-18 |
Street Address |
17141 RYAN RD |
City | DETROIT |
State | MI |
Zip Code | 48212-1112 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841204641 | The Adult Psychiatric Clinic | Counselor | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2006-07-28 |
1376057828 | Lori Lennon | Peer Specialist | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2017-11-20 |
1285010462 | Brandon Luke | Technician, Other | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2015-08-10 |
1952780611 | Krupa Mehta | Case Manager/Care Coordinator | 17141 Ryan Rd, Detroit, MI 48212 | 2015-05-27 |
1609275650 | Layna Johnson | Social Worker | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2014-08-15 |
1720496565 | Charles Vincent Ramsey | Social Worker | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2014-07-24 |
1528475902 | Alicia Scher | Social Worker | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2014-07-17 |
1952712598 | Dolores Shank | Registered Nurse | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2014-05-16 |
1700209913 | Claudia Jean-pierre | Counselor | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2014-01-23 |
1821410291 | Celestine Spruille | Social Worker | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2014-01-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
1386243178 | Hoover Internal Medicine Pllc | Internal Medicine | 4067 Georgia St, Hamtramck, MI 48212 | 2020-10-22 |
1013514538 | Ranim Suliman | Dentist | 9824 Conant St, Hamtramck, MI 48212 | 2020-10-07 |
1942770631 | Joann Harrison | Nurse Practitioner | 17941 St. Aubin Street, Detroit, MI 48212 | 2018-11-26 |
1134605298 | Advanced Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 9740 Conant St Ste 4, Hamtramck, MI 48212 | 2018-07-12 |
1477051530 | Detroit Green Carrot LLC | Foster Care Agency | 3829 Alpha, Detroit, MI 48212 | 2018-01-24 |
1528595451 | Mercy Prakash | Nurse Practitioner | 3120 Carpenter St. Ste 201, Adult & Pediatric Medicine Pllc, Hamtramck, MI 48212 | 2017-05-23 |
1033408935 | Hamtramck Pediatrics | Clinic/Center | 12033 Conant Road, Hamtramck, MI 48212 | 2011-03-31 |
1194051557 | Niaah Ellis | Counselor | 4812 E. Mcnichols, Detroit, MI 48212 | 2009-10-20 |
1912136797 | Latoya T Jackosn | Counselor | Sunshine Treatment In, 4821 E. Mcnichols, Detroit, MI 48212 | 2009-07-14 |
Find all providers in zip 48212 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790293488 | Infinity Hope Center LLC | Nurse Practitioner | 260 Vinewood St Ste 100a8919, Detroit, MI 48216-1667 | 2018-01-16 |
1033659644 | Anne Zamler | Nurse Practitioner | 14230 W Mcnichols Rd, Detroit, MI 48235-3912 | 2017-03-01 |
1821180274 | Carla J Groh | Nurse Practitioner | 5555 Conner, Suite 2691, Detroit, MI 48213 | 2006-09-29 |
1124054408 | Patricia Frances Yourchock Orr | Nurse Practitioner | 4464 Burton St, Upper Unit, Detroit, MI 48210-2402 | 2006-06-25 |
1720619091 | Sunshine Mental Health Care | Nurse Practitioner | 12871 E Jefferson Ave, Detroit, MI 48215-2754 | 2020-01-27 |
1720621535 | Rebecca Anne Hibbs | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2019-10-24 |
1659895134 | Infinity Hope Center | Nurse Practitioner | 277 Gratiot Ave Ste 100a8919, Detroit, MI 48226-2239 | 2017-07-27 |
1942685607 | Eddia Marie Mcdade | Nurse Practitioner | 10 Peterboro St, Detroit, MI 48201-2722 | 2015-07-23 |
1043698475 | Karen Ann Wezner | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2015-05-18 |
1285023226 | Lauren Krist | Nurse Practitioner | 22151 Moross Rd, Detroit, MI 48236-2167 | 2015-01-14 |
Find all providers in DETROIT |
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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.