Lumiere Tufuka Bakatubala, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

0024183787 Issued in VA

Practice address

2026 Opitz Blvd Ste a
Woodbridge, VA 22191-3332

Phone

(703) 491-7155

NPI assigned

Apr 27, 2022

Sex

Female

Sole proprietor

No

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

Enrolled in VA

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

Specialty

Nurse Practitioner

Education

Cincinnati College of Medicine and Surgery, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Zohreh Abyaneh LLCGroup PAC ID 6800155904, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Zohreh Abyaneh LLC

  • Obstetrics & Gynecology Physician
  • Woodbridge, VA
  • NPI 1992152748
  Medicare reassignment Care Compare group NPD
• Capital Women'S Care, L.L.C.

  • Ambulatory Surgical Clinic/Center
  • Frederick, MD
  • NPI 1093766289
  NPD (past)

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1124762968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 OPITZ BLVD STE A",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913332",
            "telephone_number": "703-491-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 OPITZ BLVD STE A",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913332",
            "telephone_number": "703-491-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKATUBALA",
        "first_name": "LUMIERE",
        "middle_name": "TUFUKA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024183787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bak Home Healthcare Service
• Solomon Bak
• George N Bakalis, D.C.
• Nicholas George Bakalis, D.C.
• Marie Claude Bakare
• Catherine L Baker, LCSW
• Christine M Baker, DDS
• Nicole Latrice Baker
• Firozan Bakhhtiar
• Balaji Raghu Inc

• Women's Health Nurse Practitioner in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Women's Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.