Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Beau Lucas, PA-C

Individual provider Physical Therapy Assistant · NPI 1639389703

Amanda Beau Lucas, PA-C is a Physician Assistant in Columbia, Missouri. Qualified in 2024, 2 years ago. Licensed in Missouri.

Years since qualifying
2
Licensed in
MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2011 Corona Rd Ste 207
Columbia, MO 65203-2548
Phone: (573) 234-1000
Fax: (573) 234-1771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2025023979 (MO)
Physical Therapy Assistant Taxonomy 225200000X · Licence 2006039114 (MO)

Record details

NPI number1639389703
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Columbia