Mary Ellen None Lussier, REGISTERED NURSE

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

57027 Issued in NC

Practice address

2300 Ramsey St
Fayetteville, NC 28301-3856

Phone

(910) 682-7007

NPI assigned

Feb 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033257654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 RAYCONDA PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283040482",
            "telephone_number": "910-717-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013856",
            "telephone_number": "910-682-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSSIER",
        "first_name": "MARY ELLEN",
        "middle_name": "NONE",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NC",
            "license": "57027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Luman
• Lumate Autism Services North Carolina, LLC
• Meredith Morgan Lundstrom, DPT
• Sarah Lupo
• Gage Anthony Luptak, PA-C
• Luxottica of America Inc.
• Emmenia Lynch
• Khalia Lynch
• Lynette M. McDonald DDS PA
• Dawn E Lyon, CCC-SLP

• Medical-Surgical Registered Nurse in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Medical-Surgical Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.