Individual provider Active NPI

Laura Lynne Luke, FNP

  • Family Nurse Practitioner
  • New Hartford, NY
National Provider Identifier
1073612032
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F3337481 Issued in NY
Practice address
84 Genesee St
New Hartford, NY 13413-2326
Phone
(315) 520-7100
Fax
(315) 798-1201
NPI assigned
Sep 22, 2006
Last updated
Aug 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F3337481 NY Primary

Addresses

Primary practice location

84 Genesee St
New Hartford, NY 13413-2326

Mailing address

84 Genesee St
New Hartford, NY 13413-2326
Phone (315) 520-7100

Other practice location 1

1 Notre Dame Ln
Utica, NY 13502-4817
Phone (315) 868-6631

Other identifiers 2

IdentifierTypeStateIssuer
02271227MedicaidNY
P00371705OtherNYMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
333748NYMDSchool Registered Nurse
F3337481NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Disorders Lab of Central New York, LLC Past Accepting new patients
Atul Butala Physician PC PastSince Jul 1, 1995 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1073612032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 GENESEE ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132326",
            "telephone_number": "315-520-7100",
            "fax_number": "315-790-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 GENESEE ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132326",
            "telephone_number": "315-520-7100",
            "fax_number": "315-798-1201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Notre Dame Ln",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135024817",
            "country_code": "US",
            "telephone_number": "315-868-6631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUKE",
        "first_name": "LAURA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F3337481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02271227",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00371705",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.