Audrey Lucy Luck, LM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

MW286 Issued in FL

Practice address

16821 NE 6TH Ave
North Miami Beach, FL 33162-2405

Phone

(786) 953-6534

NPI assigned

Jan 23, 2015

Last updated

Sep 4, 2024By 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Magnolia Birth House

  dba Blue Mountain Midwives

  • Midwife
  • Miami, FL
  • NPI 1285980375
  NPD (past)

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1134519507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16821 NE 6TH AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622405",
            "telephone_number": "786-953-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16821 NE 6TH AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622405",
            "telephone_number": "786-953-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCK",
        "first_name": "AUDREY",
        "middle_name": "LUCY",
        "name_prefix": "Ms.",
        "credential": "LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "13782579",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Djessie Liliane Louissaint
• Loyal Oak Home Healthcare LLC (Loyal Oak Homecare)
• Yao Lu, O.D.
• Ronald S Lubetsky, M.D.
• Noel Manalac Lucas, DO
• Rodrigo Hugo Luerino
• Danae Lugo
• Daniela Luidvinovsky, RMFTI
• Luis F Mota DMD Ms PA
• Luisa Sztern M.D. PA

• Midwife in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Midwife in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.