Randi Luckman, M.S,C.P.C, C.H.C, CM

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Practice address

750 Kappock St
#1015
Bronx, NY 10463-4612

Phone

(917) 763-4111

NPI assigned

Sep 20, 2013

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1184050221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 KAPPOCK ST",
            "address_2": "# 1015",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634612",
            "telephone_number": "917-763-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 KAPPOCK ST",
            "address_2": "#1015",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634612",
            "telephone_number": "917-763-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKMAN",
        "first_name": "RANDI",
        "credential": "M.S,C.P.C, C.H.C, CM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Michelle Lucien, M.PHIL., M.S.
• Lucille R. Van Hook Spivack MD PC
• Andyra Lucius, AUD
• Quiana Luck
• Dawn Luckey-Jackson, LCSW-R
• Courtney Lucyk, AGACNP, RN
• Molly Ludlow
• Arielle Ludwig Morris, OD
• Allison Brooke Ludwig, M.D.
• Thorsten Dietmar Luecke

• Nutrition Education Nutritionist in Bronx, NY
• Providers in Bronx, NY by specialty
• Nutrition Education Nutritionist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.