Individual provider Active NPI

Luzia Tuggle, NP-C

  • Family Nurse Practitioner
  • Carlisle, KY
National Provider Identifier
1104123751
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0111052 Issued in KY
Practice address
2300 Concrete Rd
Ste B
Carlisle, KY 40311-9721
Phone
(859) 289-2212
NPI assigned
Feb 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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 F0111052 KY Primary

Addresses

Primary practice location

2300 Concrete Rd
Ste B
Carlisle, KY 40311-9721

Mailing address

2300 Concrete Rd
Ste B
Carlisle, KY 40311-9721
Phone (859) 289-2212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20190308000136 MI Practitioner - Nurse Practitioner 4789869496 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F0111052KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Aug 14, 2020 Accepting new patients
Vpa PC Current Accepting new patients
Paragon Clinical LLC Family CurrentSince Feb 28, 2019 Accepting new patients
Vpa PC CurrentSince Aug 14, 2020 Accepting new patients
Rinaldini Medical Practice Past Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients

Locations

1385 E Empire Ave
Benton Harbor, MI 49022
Phone (269) 925-0033

500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060

500 Kirts Blvd
Troy, MI 48084
Phone (214) 824-6000

Interoperability endpoints

  • Direct secure messaging: luzia.tuggle@223773157031940.direct.elationemr.com

Organizations & group practices 6

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": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1104123751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 CONCRETE RD",
            "address_2": "STE B",
            "city": "CARLISLE",
            "state": "KY",
            "postal_code": "403119721",
            "telephone_number": "859-289-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CONCRETE RD",
            "address_2": "STE B",
            "city": "CARLISLE",
            "state": "KY",
            "postal_code": "403119721",
            "telephone_number": "859-289-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUGGLE",
        "first_name": "LUZIA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-17",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "F0111052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, KY

Sources for this page

Verify at the official NPI Registry.