Angela Rae Lusco, R.N., B.S.N.

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

09000577RN Issued in OR

Practice address

725 W Main St
John Day, OR 97845-1299

Phone

(541) 620-2150

Fax

(541) 575-2910

NPI assigned

May 8, 2012

Last updated

May 31, 2012By the provider in NPPES

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

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1114286325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26331 LAYCOCK CREEK RD",
            "city": "MOUNT VERNON",
            "state": "OR",
            "postal_code": "978656197",
            "telephone_number": "541-620-2150",
            "fax_number": "541-575-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W MAIN ST",
            "city": "JOHN DAY",
            "state": "OR",
            "postal_code": "978451299",
            "telephone_number": "541-620-2150",
            "fax_number": "541-575-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSCO",
        "first_name": "ANGELA",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "R.N., B.S.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OR",
            "license": "09000577RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Arthur Klusmier, D.D.S.
• Lens Clinical Services
• Colleen Therese Lindley, MTE,QMHP
• Lindsay P. Madden, FNP PC
• Deborah Lizotte
• Caitlin R Maccoun, MD
• Jessica Lee Madden
• Linda Maldonado
• Kaona R Martell, PT
• Dawn Marten, CNM

• Home Health Registered Nurse in John Day, OR
• Providers in John Day, OR by specialty
• Home Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.