SHELLALYN ITO-LUCAS NPI 1295214013

NPI Information

NPI: 1295214013
Provider Name: SHELLALYN ITO-LUCAS
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
3643 N ROXBORO ST
DURHAM, NC
ZIP 27704
Phone: (919) 470-4000
Get Directions

Shellalyn Ito-lucas is an acute care nurse practitioner in Durham, NC with 6 years of experience. Shellalyn Ito-lucas NPI is 1295214013. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3643 N ROXBORO ST
DURHAM, NC
ZIP 27704-702
Phone: (919) 470-4000

The NPI 1295214013 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/13/2018 and was last updated on 8/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	26NR11878000	NEW JERSEY	No
2	363LA2100X	Nurse Practitioner	Acute Care	5018236	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1295214013	OTHER		NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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