RYAN LUCAS (NPI# 1669021077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669021077 |
| Entity Type | Individual |
| Full Name | RYAN LUCAS |
| Practice Address |
38882 Mentor Ave Willoughby OH 44094-7875 |
| Practice Telephone | 4405788200 |
| Mailing Telephone | 4405788200 |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215022959 | Ryan Jon Lucas | Chiropractor | 1001 Gornick Ave, Gaylord, MI 49735 | 2006-10-04 |
| 1144218389 | Ryan A Lucas | Specialist/Technologist | 100 Foden Rd, Suite 103 West, South Portland, ME 04106-2319 | 2005-10-12 |
| Street Address |
38882 MENTOR AVE |
| City | WILLOUGHBY |
| State | OH |
| Zip Code | 44094-7875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962510107 | Heather Marie Rice | Licensed Practical Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2006-08-28 |
| 1740895614 | Dwauna Morrow | Licensed Practical Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-09-09 |
| 1457964868 | Brandee Kelly | Counselor | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-08-25 |
| 1124631866 | Robert Anthony Wilson | Registered Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-08-24 |
| 1396358958 | Richard Thomas Sutton | Registered Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-08-24 |
| 1285245779 | Michael Frier | Student in an Organized Health Care Education/Training Program | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-08-10 |
| 1568072098 | Kathleen Marie Zarlinski | Case Manager/Care Coordinator | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-08-10 |
| 1366052441 | Lauren Lavonne Lemons | Licensed Practical Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-08-04 |
| 1831707629 | Joseph Workman | Case Manager/Care Coordinator | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-07-17 |
| 1538782776 | Erika Lee Knight | Registered Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574367 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 36596 Euclid Ave, Willoughby, OH 44094 | 2020-09-25 |
| 1679111322 | Megan King | Nurse Practitioner | 4078 Erie Street, Unit B, Willoughby, OH 44094 | 2019-12-12 |
| 1124661525 | Mind and Body Infusion Therapies, LLC | Clinic/Center | 9264 Chillicothe Rd., Unit #2, Kirtland, OH 44094 | 2019-10-18 |
| 1679125637 | Christina Maria Chandler | Family Medicine | 39021 Signature Circle, Willoughby, OH 44094 | 2019-07-10 |
| 1467920595 | Rachel Curry | Specialist/Technologist | 53400 Euclid Ave., Apt. E-102, Willoughby, OH 44094 | 2018-11-07 |
| 1437649753 | Katie Lauren Greenaway | Registered Nurse | 5103 Robinhood Dr, Willoughby, OH 44094 | 2018-05-11 |
| 1003346131 | Heather Marie Hayes | Licensed Practical Nurse | 38882 Mentor Ave., Willoughby, OH 44094 | 2017-06-12 |
| 1609305028 | Ann Marie Mason | Counselor | 38882 Mentor Avenue, Willoughby, OH 44094 | 2017-06-08 |
| 1285173005 | Mattie Diann Towns-scott | Social Worker | 34950 Chardon Road, Bldg 2, Suite 210, Willoughby Hills, OH 44094 | 2017-02-13 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| Find all providers in zip 44094 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306478128 | Kate Brennan Newland | Peer Specialist | 5018 Willoughcroft Rd, Willoughby, OH 44094-5709 | 2020-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508318 | Rosemarie Czechanski | Peer Specialist | 163 E Bridge St Apt 308, Berea, OH 44017-2187 | 2020-11-03 |
| 1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
| 1053911792 | Ryan Caleb Thomason | Peer Specialist | 3554 Raymont Blvd, University Heights, OH 44118-2604 | 2020-10-30 |
| 1104425883 | David Lashore Thomas | Peer Specialist | 55 W Bagley Rd, Berea, OH 44017-1916 | 2020-10-22 |
| 1871192039 | Terra Lynn Davis | Peer Specialist | 1074 Larkens Way, Medina, OH 44256-1277 | 2020-10-20 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1053918565 | Tina Louise Neal | Peer Specialist | 3637 Green Rd, Cleveland, OH 44122-5779 | 2020-10-07 |
| 1326645805 | Kristen Krajewski | Peer Specialist | 3105 Woodbridge Ave, Cleveland, OH 44109-2175 | 2020-10-07 |
| 1659978500 | Brandy Dawn Altop | Peer Specialist | 9221 Hooper Rd, Athens, OH 45701-3365 | 2020-10-05 |
| 1649887993 | Patricia A Mairet | Peer Specialist | 23 W College Ave, Springfield, OH 45504-2506 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | WILLOUGHBY |
| Zip Code | 44094 |
Please comment or provide details below to improve the information on RYAN LUCAS.
| 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.