Abdul Selam Luna

Primary specialty

Recreational Therapist AssistantTaxonomy code 226000000X

License

CG60762294 Issued in WA

Practice address

2103 S Atlantic Street
Seattle, WA 98144

Phone

(206) 329-2050

NPI assigned

Jun 8, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Atlantic Street Center

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1447551221
  NPD (past)

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114456548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 S ATLANTIC ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981443615",
            "telephone_number": "206-329-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 S ATLANTIC STREET",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98144",
            "telephone_number": "206-329-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA",
        "first_name": "ABDUL",
        "middle_name": "SELAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "226000000X",
            "taxonomy_group": "",
            "desc": "Recreational Therapist Assistant",
            "state": "WA",
            "license": "CG60762294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "CG60762294",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Lumsden, PA-C
• Luna Mobile Lab Services LLC
• Jason Luna Posadas
• Lucia Alejandra Luna Wong, MD, PHD
• Rafaela Luna-Pizano
• Ciana Eniz Bustillo Luna I
• Jordan Luna
• Connie Jean Lunan, LMP
• Lunar Wellness
• Spencer Lunbeck, M.D.

• Recreational Therapist Assistant in Seattle, WA
• Providers in Seattle, WA by specialty
• Recreational Therapist Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.