Healthcare Provider Details

I. General information

NPI: 1427920222
Provider Name (Legal Business Name): LUCY HELENA PICKETT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 09/22/2025
Certification Date: 09/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3225 STRATUS CT
WEST LAFAYETTE IN
47906-6865
US

IV. Provider business mailing address

3225 STRATUS CT
WEST LAFAYETTE IN
47906-6865
US

V. Phone/Fax

Practice location:
  • Phone: 317-775-1826
  • Fax:
Mailing address:
  • Phone: 317-775-1826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number28282265A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: