Individual provider Active NPI

Rhonda L Luster, CPNP-PC

  • Pediatric Nurse Practitioner
  • Saint Joseph, MO
National Provider Identifier
1154080885
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
2021046369 Issued in MO
Practice address
3500 N Village Dr Ste 101
Saint Joseph, MO 64506-4979
Phone
(816) 807-3746
NPI assigned
Dec 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 2021046369 MO Primary
Pediatric Nurse Practitioner 363LP0200X 53-80732-081 KS

Addresses

Primary practice location

3500 N Village Dr Ste 101
Saint Joseph, MO 64506-4979

Mailing address

2506 Ashland Ave
Saint Joseph, MO 64506-1939
Phone (816) 807-3746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
53-80732-081KSMDPediatric Nurse Practitioner
2021046369MOMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: rhonda.luster.1@30069.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1154080885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 ASHLAND AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645061939",
            "telephone_number": "816-807-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N VILLAGE DR STE 101",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645064979",
            "telephone_number": "816-807-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSTER",
        "first_name": "RHONDA",
        "middle_name": "L",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "2021046369",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KS",
            "license": "53-80732-081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.