MISS CAMILLE RAE LUCITO (NPI# 1194899898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194899898 |
| Entity Type | Individual |
| Full Name | MISS CAMILLE RAE LUCITO |
| Credential | RN, CPNP |
| Practice Address |
3171 Ne Carnegie Dr Ste A Lees Summit MO 64064 |
| Mailing Address |
3171 Ne Carnegie Dr Ste A Lees Summit MO 64064-3226 |
| Practice Telephone | 8165252800 |
| Practice Fax Number | 8165254077 |
| Mailing Telephone | 8165252800 |
| Mailing Fax Number | 8165254077 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2018-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
2000170847 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1425 Nw Blue Pkwy, Lees Summit, MO 640865705 | 8165243223 | 8165252697 |
| Street Address |
3171 NE CARNEGIE DR STE A |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396772463 | Sara Ann Myers | Pediatrics | 3171 Ne Carnegie Dr Ste A, Lees Summit, MO 64064-3226 | 2006-06-26 |
| 1447751375 | Children's Mercy-summit Pediatrics | Pediatrics | 3171 Ne Carnegie Dr Ste A, Lees Summit, MO 64064-3226 | 2018-02-26 |
| 1073975561 | Adam Grumke | Pediatrics | 3171 Ne Carnegie Dr Ste A, Lees Summit, MO 64064 | 2016-03-23 |
| 1003222712 | Kailey Wilson | Pediatrics | 3171 Ne Carnegie Dr Ste A, Lees Summit, MO 64064-3226 | 2014-07-02 |
| 1922426691 | Mandi Menard | Pediatrics | 3171 Ne Carnegie Dr Ste A, Lees Summit, MO 64064-3226 | 2014-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647704 | James Andrew Kleoppel | Dentist | 3320 Ne Ralph Powell Rd., Lee's Summit, MO 64064 | 2020-07-30 |
| 1255991238 | Lee Summit Asc Kc LLC | Clinic/Center | 2861 Ne Independence Avenue, Suite 101, Lee's Summitt, MO 64064 | 2019-06-20 |
| 1073014676 | Sonya Renee Aversman | Dietitian, Registered | 3680 Ne Akin Dr, Suite 134, Lee's Summit, MO 64064 | 2018-02-28 |
| 1407398365 | Lakewood Chiropractic, P.C. | Chiropractor | 731 Ne Lakewood Boulevard, Lee's Summit, MO 64064 | 2016-11-09 |
| 1417403015 | Mikaela Groff | Dietitian, Registered | 401 Ne Grant Ct, Lee's Summit, MO 64064 | 2016-09-01 |
| 1952756405 | Sarah C. Vignery | Speech-Language Pathologist | 3600 Ne Ralph Powell Rd. Suite E, Lee's Summit, MO 64064 | 2016-05-03 |
| 1790146058 | Aneliya H Hristova | Physician Assistant | 3601 Ne Ralph Powell Road., Lee's Summit, MO 64064 | 2016-03-15 |
| 1821469982 | Alysse Barrett Doane | Nurse Practitioner | 2714 Ne Mcbaine Drive, Lees Summit, MO 64064 | 2015-10-15 |
| 1346638814 | Donna Thomas Dds, PC | Dentist | 3359 Ne Ralph Powell Rd, Lee's Summit, MO 64064 | 2015-01-06 |
| 1437579208 | Gregory Lohr | Dentist | 2931 Ne Independence Ave, Lees Summit, MO 64064 | 2014-04-21 |
| Find all providers in zip 64064 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942323985 | Amy D Phillips | Nurse Practitioner | 3171 Ne Carnegie Dr, Suite A, Lees Summit, MO 64064-3215 | 2007-04-06 |
| 1336700418 | Julia Marie Crouch | Nurse Practitioner | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2019-06-27 |
| 1659835395 | Holly Lynn Prather | Nurse Practitioner | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2019-01-28 |
| 1225443625 | Tiffany Vitt | Nurse Practitioner | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2014-06-24 |
| 1871804666 | Angela N Stott | Nurse Practitioner | 821 Sw Lemans Ln, Lees Summit, MO 64082-4618 | 2010-06-25 |
| 1881746303 | Julie E Kirkpatrick | Nurse Practitioner | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2007-01-17 |
| 1396712899 | Sherry J Quick | Nurse Practitioner | 241 Nw Mcnary Ct, Lees Summit, MO 64086-4011 | 2006-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689203390 | Kathleen Rippe Dowd | Nurse Practitioner | 59 Pointer Ln, Saint Louis, MO 63124-2018 | 2020-04-04 |
| 1871126391 | Kelsey Lonergan | Nurse Practitioner | 10915 Three Court Dr, Saint Louis, MO 63123-5959 | 2020-02-13 |
| 1518599778 | Eva Maria Gallina | Nurse Practitioner | 4525 Mid Rivers Mall Dr Ste 110, Saint Peters, MO 63376-2820 | 2020-02-06 |
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1003383324 | Jennifer Marie Jacobi | Nurse Practitioner | 1 Childrens Pl Fl 12, Saint Louis, MO 63110-1002 | 2018-10-24 |
| 1902315609 | Regina Victoria Maloney | Nurse Practitioner | 851 E 5th St Ste 300, Washington, MO 63090-3130 | 2017-09-25 |
| 1093235368 | Sally Williams Ehrich | Nurse Practitioner | 1004 Carondelet Dr Ste 350, Kansas City, MO 64114-4801 | 2017-06-27 |
| 1366995789 | Shawn Danielle Neyens | Nurse Practitioner | 303 N Keene St Ste 404, Columbia, MO 65201-7193 | 2016-08-02 |
| 1114381563 | Kathleen B Shaughnessy | Nurse Practitioner | 9580 Watson Rd, Ste A, Saint Louis, MO 63126-1539 | 2016-04-12 |
| 1518327071 | Lauren Sommero | Nurse Practitioner | 1516 Bridge School Road, Rolla, MO 65401-8115 | 2016-02-26 |
| Find all providers with the same taxonomy | ||||
| City | LEES SUMMIT |
| Zip Code | 64064 |
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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.