CORY LUCAS (NPI# 1790226942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790226942 |
| Entity Type | Individual |
| Full Name | CORY LUCAS |
| Credential | NP |
| Practice Address |
8609 Sudley Rd Ste 105 Manassas VA 20110-8321 |
| Practice Telephone | 7033938883 |
| Mailing Telephone | 7033938883 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024174657 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8609 SUDLEY RD STE 105 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-8321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467409961 | Abdullah Al Farooque | Internal Medicine | 8609 Sudley Rd, Suite 105, Manassas, VA 20110-4500 | 2006-05-28 |
| 1144865999 | Eleny Tadese Gebre | Nurse Practitioner | 8609 Sudley Rd, Manassas, VA 20110-8321 | 2019-11-14 |
| 1427407527 | Sudley Pharmacy | Durable Medical Equipment & Medical Supplies | 8609 Sudley Rd, Manassas, VA 20110-8321 | 2016-06-09 |
| 1306292552 | Lisa Anne Cornelius | Social Worker | 8609 Sudley Rd, Suite 201, Manassas, VA 20110-8321 | 2016-05-06 |
| 1982963328 | Phoenix Counseling Services | Counselor | 8609 Sudley Rd, Suite 201, Manassas, VA 20110-8321 | 2012-05-04 |
| 1093006157 | Physiotherapy Associates Inc | Clinic/Center | 8609 Sudley Rd, Suite 105, Manassas, VA 20110-8321 | 2011-04-25 |
| 1346495850 | Kevin C Mendes | Dentist | 8609 Sudley Rd, Suite #102, Manassas, VA 20110-8321 | 2008-11-25 |
| 1912065863 | Valley Health Clinic Inc | Specialist | 8609 Sudley Rd, Suite 105, Manassas, VA 20110-4500 | 2006-12-04 |
| 1396827036 | Prince William Hospital | Home Health | 8609 Sudley Rd, Suite 201, Manassas, VA 20110-8321 | 2006-10-20 |
| 1275549321 | Roselle Stark | Counselor | 8609 Sudley Rd, Suite 201, Manassas, VA 20110-8321 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386209369 | Libby Beatty Phillips | Nurse Practitioner | 9380 Forestwood Ln Ste B, Manassas, VA 20110-4735 | 2019-05-06 |
| 1821581588 | Tanya E Reynolds | Nurse Practitioner | 8051 Sudley Rd, Manassas, VA 20109-8001 | 2018-06-07 |
| 1952831448 | Tracey Lee Hoefler | Nurse Practitioner | 8644 Sudley Rd Ste 117, Manassas, VA 20110-4425 | 2017-06-15 |
| 1497294169 | Tele Da-silveira | Nurse Practitioner | 11115 Light Guard Loop, Manassas, VA 20109-7633 | 2017-02-14 |
| 1548611916 | April Vannoy | Nurse Practitioner | 8501 Sudley Rd, Manassas, VA 20109-3563 | 2016-06-28 |
| 1093057358 | Sherri L Mason | Nurse Practitioner | 15588 Hume School Ct, Manassas, VA 20112-5444 | 2013-03-25 |
| 1386928539 | Julie Lynn Kulp | Nurse Practitioner | Northern Virginia Family Medicine, 9001 Digges Rd #105, Manassas, VA 20110 | 2011-10-06 |
| 1265746317 | Norman Michael Jacobowitz | Nurse Practitioner | 8575 Sudley Rd Ste B, Manassas, VA 20110-3861 | 2010-07-31 |
| 1194851758 | M Constance Finley-harrier | Nurse Practitioner | 9600 Godwin Dr, Mtv Health Center, Manassas, VA 20110 | 2007-02-26 |
| 1720157829 | Flaviano Delacruz Dazo | Nurse Practitioner | 9309 Centreville Road, Manassas, VA 20110 | 2006-11-06 |
| Find all providers in MANASSAS | ||||
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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.