Serenity D. Luedke, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

110860 Issued in NE

Practice address

630 N Cotner Blvd
Suite 202
Lincoln, NE 68505-2339

Phone

(402) 464-8636

Fax

(402) 464-8408

NPI assigned

Jul 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Ear, Nose & Throat Medicine & Surgery P.C.

  • Otolaryngic Allergy Physician
  • Lincoln, NE
  • NPI 1316133804
  NPD (past)

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1124228085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N COTNER BLVD",
            "address_2": "SUITE 202",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052339",
            "telephone_number": "402-464-8636",
            "fax_number": "402-464-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N COTNER BLVD",
            "address_2": "SUITE 202",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052339",
            "telephone_number": "402-464-8636",
            "fax_number": "402-464-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEDKE",
        "first_name": "SERENITY",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "110860",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary T Luebbert, RD, LMNT
• Holly Luedke
• Isabel Luedke I
• Kenneth Bradley Luedke, PLADC
• Matthew James Luedke
• Judy Luedtke, RN
• Madison Marie Lueger
• Lillie Lueke
• Robert H Lueke, PT
• Tammy Lee Lueker

• Nurse Practitioner in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.