1. Home
  2. Directory
  3. Louisiana
  4. New Orleans
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

LUCAS CLARK GLISSON
NPI 1942060116
Student in an Organized Health Care Education/Training Program in New Orleans, LA

Active since March 22, 2024PECOS Enrolled
2021 PERDIDO ST RM 6420, NEW ORLEANS, LA 70112(504) 568-7912 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lucas Clark Glisson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUCAS CLARK GLISSON (NPI 1942060116) is an individual student in an organized health care education/training program in New Orleans, Louisiana and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942060116
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLUCAS CLARK GLISSON
Location Address2021 PERDIDO ST RM 6420New Orleans, LA 70112-1352
Mailing Address2021 Perdido St Rm 6420New Orleans, LA 70112-1352 · (504) 568-7912
Phone(504) 568-7912
Sole ProprietorNo
Enumeration DateMarch 22, 2024
NPPES CertifiedMarch 22, 2024
✔ NPI 1942060116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2021 PERDIDO ST RM 6420, New Orleans, LA 70112
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lucas Clark Glisson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lucas Glisson's NPI number?

The NPI number for Lucas Glisson is 1942060116. It was assigned to this individual provider in the NPPES registry on March 22, 2024.

Where is Lucas Glisson located?

Lucas Glisson practices at 2021 Perdido St Rm 6420, New Orleans, LA 70112. The listed phone number is (504) 568-7912.

What is Lucas Glisson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lucas Glisson enrolled in Medicare?

Yes. Lucas Glisson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lucas Glisson was last updated on March 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.