MRS. JUDITH ELLEN LUCAS (NPI# 1629392634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629392634 |
| Entity Type | Individual |
| Full Name | MRS. JUDITH ELLEN LUCAS |
| Credential | CDA-RDA |
| Practice Address |
790 Ridge Rd Lackawanna NY 14218-1629 |
| Practice Telephone | 7168239352 |
| Mailing Telephone | 7168239352 |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2010-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 49000634 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871091165 | Judith E Lucas | Counselor | 101 Lions Dr Ste 115, Barrington, IL 60010-3147 | 2018-02-01 |
| 1467659680 | Judith Lucas | Psychologist | 102 Goheen St, Lewisburg, WV 24901-1600 | 2007-06-29 |
| 1457344012 | Judith Anne Lucas | Pediatrics | 391 Myrtle Ave, Suite 3b, Albany, NY 12208 | 2005-08-29 |
| 1740574607 | Judith Grantham Lucas | Pharmacist | 440 E Dixie Dr, Asheboro, NC 27203-6860 | 2011-06-07 |
| 1952407835 | Judith Kassner Lucas | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-09-16 |
| Street Address |
790 RIDGE RD |
| City | LACKAWANNA |
| State | NY |
| Zip Code | 14218-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669539029 | Daniel Mangold | Psychiatry & Neurology | 790 Ridge Rd, Baker Victory Services, D. Mangold, M.d., Lackawanna, NY 14218-1629 | 2007-01-03 |
| 1881203669 | Dawn Gayadeen | Counselor | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2020-07-28 |
| 1518514678 | Dawn Marie Luniewski | Occupational Therapist | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2019-08-23 |
| 1760959407 | Jordan Toles | Peer Specialist | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-10-31 |
| 1427533975 | Bianca Scott-malone | Case Manager/Care Coordinator | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-10-01 |
| 1932684016 | Karen Dwyer | Community Health Worker | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-09-25 |
| 1487138830 | Kevin Chapman Chapman | Community Health Worker | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-09-21 |
| 1790269652 | Taryn Wilde | Community Health Worker | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-09-17 |
| 1740764695 | Bryan Buchanan | Community Health Worker | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-09-17 |
| 1346724291 | Marium Ashraf | Community Health Worker | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811419765 | Jennifer Lynn Cuneo | Nurse Practitioner | 20 Maryknoll Dr, Lackawanna, NY 14218 | 2017-07-12 |
| 1144579251 | Jennifer Jalil-contreras | Social Worker | 33 Wilkesbarre Avenue, Lackawanna, NY 14218 | 2012-09-05 |
| 1578833323 | Buffalo Synapse Support, LLC | Specialist/Technologist, Other | 609 Ridge Road, Lackawanna, NY 14218 | 2012-01-11 |
| 1851546097 | Rania Karam-bayoumi | Family Medicine | 227 Ridge Road, Lackawanna, NY 14218 | 2008-12-01 |
| 1548427552 | Jennifer Anne Molea | Specialist | 1025 Ridge Road, Lackawanna, NY 14218 | 2008-05-19 |
| 1649481904 | Richard Edwin Zambron | Dentist | 1243 Ridge Road, Lackawanna, NY 14218 | 2007-05-25 |
| 1447461876 | Baker Victory Services | Nursing Facility/Intermediate Care Facility | 180 Martin Road, Lackawanna, NY 14218 | 2007-05-25 |
| 1396956462 | Baker Victory Services | Psychiatric Residential Treatment Facility | 150 Martin Road, Lackawanna, NY 14218 | 2007-05-24 |
| 1245352921 | Baker Hall | Day Training, Developmentally Disabled Services | 650 Ridge Road, Lackawanna, NY 14218 | 2007-04-04 |
| 1730210238 | Brandi Arcara | Counselor | 2600 South Park Avenue, Parkview Center, Lackawanna, NY 14218 | 2007-03-08 |
| Find all providers in zip 14218 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740447663 | Julie A Hanavan | Dental Assistant | 790 Ridge Rd, Lackawanna, NY 14218 | 2008-05-19 |
| 1699932715 | Sandra A Whalen | Dental Assistant | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2008-05-16 |
| 1487811626 | Paulette Lynn Stornelli | Dental Assistant | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2008-05-16 |
| 1215194428 | Melissa J Diehl | Dental Assistant | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2008-05-16 |
| 1114194396 | Mary Beth Sojka | Dental Assistant | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2008-05-15 |
| 1821265083 | Francine Marie Hehir | Dental Assistant | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2008-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649811381 | Patrick Anthony Watt | Dental Assistant | 1453 Amsterdam Ave Apt 5b, New York, NY 10027-7413 | 2019-10-03 |
| 1568912731 | Jraejah Warren | Dental Assistant | 5234 Woodford, New York, NY 45214-0003 | 2016-10-11 |
| 1447703608 | Jose Miguel Lorasanchez | Dental Assistant | 120 W 138th St Apt 3g, New York, NY 10030-2369 | 2016-07-25 |
| 1962999342 | James Glover | Dental Assistant | Us Army Dental Health Activity, Fort Stewart, NY 31314 | 2018-04-20 |
| 1467803338 | Dennis Nicholson | Dental Assistant | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 | 2016-06-22 |
| 1841649530 | Julie Wainwright | Dental Assistant | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 | 2016-06-03 |
| 1669821351 | Jonathan Smith | Dental Assistant | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 | 2016-06-03 |
| 1790134492 | Dwayne Trinidad | Dental Assistant | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 | 2016-06-03 |
| 1033568720 | Mary Bice | Dental Assistant | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 | 2016-06-03 |
| 1851740542 | Linda Cox | Dental Assistant | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 | 2016-06-03 |
| Find all providers with the same taxonomy | ||||
| City | LACKAWANNA |
| Zip Code | 14218 |
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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.