Luminosity Medical Allaince, PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

LUMINOSITY MEDICAL ALLAINCE, PLLC

Practice address

426 SW Hayworth Dr Unit C203
Port Orchard, WA 98367-5015

Phone

(360) 362-0146

NPI assigned

Aug 3, 2021

Last updated

Aug 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda Sue Macklin, ARNP

Title

Founder

Phone

(360) 362-0146

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1134893191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 SW HAYWORTH DR UNIT C203",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983675015",
            "telephone_number": "419-860-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 SW HAYWORTH DR UNIT C203",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983675015",
            "telephone_number": "360-362-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINOSITY MEDICAL ALLAINCE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "MACKLIN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "360-362-0146",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Lowrie
• Miranda Schoof Lowry, DDS
• Lsref Golden Ops 26 (Wa), LLC (Orchard Pointe Senior Alzheimer Community)
• Victoria Lucas
• Andrew James Luk, MD, MPH
• Kelli Lyles, MA
• Sandra Lee Lynam, PTA
• Jesse La Ray Wayne Lyons, SUDP
• Suzanne Michele Lysobey, ARNP
• Brad R. Mackinnon, M.D.

• Nurse Practitioner in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.