Individual provider Active NPI

Joshua J Luke, FNP-C

  • Nurse Practitioner
  • La Place, LA
National Provider Identifier
1013525716
Registry record updated Jul 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
213965 Issued in LA
Practice address
113 Belle Terre Blvd
La Place, LA 70068-3349
Phone
(985) 359-2273
Fax
(985) 359-8560
NPI assigned
Jul 19, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 213965 LA Primary

Addresses

Primary practice location

113 Belle Terre Blvd
La Place, LA 70068-3349

Mailing address

329 Kleinpeter Dr
Thibodaux, LA 70301-7821
Phone (985) 991-0222

Other practice location 1

231 N Carrollton Ave
New Orleans, LA 70119-5158
Phone (504) 370-2273

Other practice location 2

148 Wall Blvd
Gretna, LA 70056-7107
Phone (504) 393-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241022004068 AK Practitioner - Nurse Practitioner 7618387697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart of Eagle River Medical ClinicGroup PAC ID 0345240214, 5 clinicians

Practice addresses (Care Compare)

11432 Business Blvd
Suite 4
Eagle River, AK 99577-7740
Phone (907) 694-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
213965LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Eagle River Medical Clinic CurrentSince Aug 12, 2024 Accepting new patients

Locations

11432 Business Blvd
Ste 4
Eagle River, AK 99577
Phone (907) 317-1703

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595116800000",
    "number": "1013525716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 KLEINPETER DR",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703017821",
            "telephone_number": "985-991-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 BELLE TERRE BLVD",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700683349",
            "telephone_number": "985-359-2273",
            "fax_number": "985-359-8560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 N Carrollton Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701195158",
            "country_code": "US",
            "telephone_number": "504-370-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "148 Wall Blvd",
            "address_purpose": "LOCATION",
            "city": "Gretna",
            "state": "LA",
            "postal_code": "700567107",
            "country_code": "US",
            "telephone_number": "504-393-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUKE",
        "first_name": "JOSHUA",
        "middle_name": "J",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-19",
        "last_updated": "2020-07-19",
        "certification_date": "2020-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "213965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Place, LA

Sources for this page

Verify at the official NPI Registry.