Tina Faye Luck, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP124485 Issued in TX

Practice address

36 E Twohig Ave Ste 1100
San Angelo, TX 76903

Phone

(325) 658-6524

Fax

(325) 658-8895

NPI assigned

Nov 18, 2013

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Hospice of San Angelo Inc

  • Community Based Hospice Care Agency
  • San Angelo, TX
  • NPI 1114001435
  NPD (past)
• The West Texas Rehabilitation Center

  • Community Based Hospice Care Agency
  • San Angelo, TX
  • NPI 1063911618
  NPD (past)

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1033549670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 GRANDVIEW DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769048145",
            "telephone_number": "325-226-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 E TWOHIG AVE STE 1100",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76903",
            "telephone_number": "325-658-6524",
            "fax_number": "325-658-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCK",
        "first_name": "TINA",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP124485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Love, EIS-FQP
• Matthew Lowery, M.D.
• Crystal Rose Yvette Lozano, LCDC
• Fernando Lozano
• Maricel Quiming Lucero
• Meghan Ludwig, APRN, FNP-BC
• Samuel Luedecke, RN, MSN, FNP-BC
• Shun H Lui, MD
• Lummus Pharm Inc
• Sara L Lummus, PHARM D

• Family Nurse Practitioner in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.