JEFFREY LUCKETT (NPI# 1336519552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336519552 |
| Entity Type | Individual |
| Full Name | JEFFREY LUCKETT |
| Practice Address |
9212 N Central Ave Phoenix AZ 85020-2416 |
| Practice Telephone | 4809994954 |
| Mailing Telephone | 4809994954 |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2020-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP8054 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 096036 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194859439 | Jeffrey Joe Luckett | Podiatrist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2007-03-16 |
| 1851482707 | Jeffrey Blake Luckett | Psychologist | 3635 Manassas Dr, Roanoke, VA 24018-4031 | 2006-09-27 |
| Street Address |
9212 N CENTRAL AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85020-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326010471 | Manish J. Patel | Internal Medicine | 9212 N Central Ave, Phoenix, AZ 85020-2416 | 2006-02-03 |
| 1598391500 | Karissa Nawal Alkhafi | Registered Nurse | 9212 N Central Ave, Phoenix, AZ 85020-2416 | 2020-03-21 |
| 1609368398 | Brittany Lopez | Nurse Practitioner | 9212 N Central Ave, Phoenix, AZ 85020-2416 | 2018-05-30 |
| 1356850499 | Clara Ndoma-ogar | Nurse Practitioner | 9212 N Central Ave, Phoenix, AZ 85020-2416 | 2017-09-20 |
| 1932632114 | Jessica Lasky | Speech-Language Pathologist | 9212 N Central Ave, Phoenix, AZ 85020-2416 | 2017-04-05 |
| 1265889364 | Rahmar Shelton | Nurse Practitioner | 9212 N Central Ave, Phoenix, AZ 85020-2416 | 2016-05-18 |
| 1972912228 | Unomed LLC | Internal Medicine | 9212 N Central Ave, Phoenix, AZ 85020-2416 | 2014-08-11 |
| 1699068387 | James Willis Buckner II | Internal Medicine | 9212 N Central Ave, Phoenix, AZ 85020-2416 | 2011-05-27 |
| 1770773087 | Silke Rempe | Internal Medicine | 9212 N Central Ave, Phoenix, AZ 85020 | 2007-08-01 |
| 1326084997 | William Peppo | Internal Medicine | 9212 N Central Ave, Phoenix, AZ 85020 | 2006-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683537 | Joseph A Jones | Pharmacist | 7543 N 20th St, Phoenix, AZ 85020 | 2019-05-01 |
| 1871022210 | Amber L Enright | Physical Therapist | 1675 E Morten Ave, 4155, Phoenix, AZ 85020 | 2017-06-08 |
| 1518407683 | Harmony Dental Partners, LLC | Dentist | 7150 North 7th Street, Phoenix, AZ 85020 | 2017-03-08 |
| 1104369495 | Michelle Mastro | Registered Nurse | 1234 E. Northern Avenue, Phoenix, AZ 85020 | 2016-11-18 |
| 1912363003 | Charles D. Atkinson | Social Worker | 1716 East Seldon Lane, Phoenix, AZ 85020 | 2016-01-06 |
| 1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
| 1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
| 1275906984 | Summer Macey | Nurse Practitioner | 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 | 2015-11-03 |
| 1356712772 | Maurie S Comenzo | Clinic/Center | 11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center, Phoenix, AZ 85020 | 2015-10-12 |
| 1700260692 | Stansberry Family Dentistry Pllc | Dentist | 7501 N. 16th St. #100, Phoenix, AZ 85020 | 2015-07-10 |
| Find all providers in zip 85020 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890969 | Kristen Cox | Nurse Practitioner | 35714 N 34th Ln, Phoenix, AZ 85086-2264 | 2020-10-28 |
| 1760097570 | Justin Thomas Partlow | Nurse Practitioner | 3124 E Bloomfield Rd, Phoenix, AZ 85032-7109 | 2020-09-09 |
| 1295352334 | Adrian Emil Stamp | Nurse Practitioner | 12641 N 19th St, Phoenix, AZ 85022-5735 | 2020-07-04 |
| 1093332082 | Marissa Katherine Chase | Nurse Practitioner | 340 E Palm Ln # A175, Phoenix, AZ 85004-4603 | 2020-06-25 |
| 1033739081 | Anthony Populo | Nurse Practitioner | 1700 W Whitton Ave, Phoenix, AZ 85015-5533 | 2020-04-20 |
| 1710446786 | Rosa Maria Ruiz | Nurse Practitioner | 10317 W Campbell Ave, Phoenix, AZ 85037-5530 | 2019-03-18 |
| 1205394947 | Maryann Smith | Nurse Practitioner | 2327 W Dewdrop Trl, Phoenix, AZ 85085-0719 | 2019-03-12 |
| 1952868309 | Emily B Cova | Nurse Practitioner | 1331 N 7th St Ste 405, Phoenix, AZ 85006-2754 | 2019-02-21 |
| 1376027144 | Ejiro Ojameruaye | Nurse Practitioner | 19636 N 27th Ave Ste 202, Phoenix, AZ 85027-4018 | 2018-09-18 |
| 1538646161 | Joshua Alexander Luke Hindman | Nurse Practitioner | 1833 W Mission Ln, Phoenix, AZ 85021-2947 | 2018-07-26 |
| Find all providers in PHOENIX | ||||
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| 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.