MRS. SHANNON LEE LUCZAK (NPI# 1093156481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093156481 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON LEE LUCZAK |
| Credential | APN |
| Practice Address |
515 N Lafayette Blvd South Bend IN 46601-1003 |
| Mailing Address |
1531 S Halsted St Unit 301 Chicago IL 60607-5135 |
| Practice Telephone | 5742322037 |
| Mailing Telephone | 9894827696 |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2019-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
515 N LAFAYETTE BLVD |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669424792 | Christopher S Norborg | Obstetrics & Gynecology | 515 N Lafayette Blvd, South Bend, IN 46601-1003 | 2006-05-17 |
| 1477903391 | Mackenzie Austgen | Obstetrics & Gynecology | 515 N Lafayette Blvd, South Bend, IN 46601-1003 | 2016-06-22 |
| 1164764890 | Jessica Marie Basham | Obstetrics & Gynecology | 515 N Lafayette Blvd, South Bend, IN 46601-1003 | 2013-03-20 |
| 1831496710 | Leah C Kinney | Nurse Practitioner | 515 N Lafayette Blvd, South Bend, IN 46601-1003 | 2011-02-11 |
| 1891013967 | Allen R Clark | Obstetrics & Gynecology | 515 N Lafayette Blvd, South Bend, IN 46601-1003 | 2010-05-13 |
| 1689909848 | Allied Physicians of Michiana, LLC | Obstetrics & Gynecology | 515 N Lafayette Blvd, South Bend, IN 46601-1003 | 2009-10-06 |
| 1144489790 | Dayna Cox | Obstetrics & Gynecology | 515 N Lafayette Blvd, South Bend, IN 46601-1003 | 2008-06-07 |
| 1124224373 | Daniel Francis Czarnecki | Obstetrics & Gynecology | 515 N Lafayette Blvd, South Bend, IN 46601-1003 | 2007-06-25 |
| 1083712574 | Houser-norborg-macgregor Medical Corp | Obstetrics & Gynecology | 515 N Lafayette Blvd, South Bend, IN 46601-1003 | 2006-09-20 |
| 1326093451 | Sloan Suzanne Shah | Obstetrics & Gynecology | 515 N Lafayette Blvd, South Bend, IN 46601-1003 | 2006-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184952848 | Laura Theresa Mabry | Advanced Practice Midwife | 621 Memorial Dr Ste 403, South Bend, IN 46601-1074 | 2009-11-18 |
| 1629273834 | Karen A Decocker | Advanced Practice Midwife | 228 S Notre Dame Ave, South Bend, IN 46617-3037 | 2007-06-18 |
| 1356803134 | Cristina Emch | Advanced Practice Midwife | 621 Memorial Dr Ste 403, South Bend, IN 46601-1074 | 2019-04-02 |
| 1457860801 | Claire Marie Walker | Advanced Practice Midwife | 621 Memorial Dr Ste 403, South Bend, IN 46601-1074 | 2017-09-28 |
| 1932556552 | Midwives Care | Advanced Practice Midwife | 2930 Mckinley Ave, South Bend, IN 46615-2739 | 2016-05-24 |
| 1477977767 | Melissa E Holderread | Advanced Practice Midwife | 621 Memorial Dr Ste 403, South Bend, IN 46601 | 2014-02-07 |
| 1972857704 | Susana Diaz | Advanced Practice Midwife | 621 Memorial Dr Ste 403, South Bend, IN 46601-1074 | 2012-10-31 |
| 1578862181 | Beacon Medical Group, Inc. | Advanced Practice Midwife | 621 Memorial Dr Ste 403, Suite 124, South Bend, IN 46601-1074 | 2011-03-22 |
| 1902134521 | Memorial Health System, Inc. | Advanced Practice Midwife | 244 S Olive St, Suite E, South Bend, IN 46619-2100 | 2009-11-19 |
| 1447241179 | Kristin Joy Kile | Advanced Practice Midwife | 621 Memorial Dr, Ste 403, South Bend, IN 46601-1063 | 2005-11-02 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
Please comment or provide details below to improve the information on MRS. SHANNON LEE LUCZAK.
| 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.