Carissa Renae Luking, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71004665A Issued in IN

Practice address

903 N 7TH St
Vincennes, IN 47591-3107

Phone

(812) 316-0707

Fax

(812) 316-0702

NPI assigned

Oct 3, 2013

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: cluking@lfp-in.direct.office.nextgen.com

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1194152231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 PERRY ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475912127",
            "telephone_number": "812-494-2920",
            "fax_number": "812-494-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 N 7TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475913107",
            "telephone_number": "812-316-0707",
            "fax_number": "812-316-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKING",
        "first_name": "CARISSA",
        "middle_name": "RENAE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004665A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "71004665A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201193500",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole A Love
• Marcia Loving-Wilkerson, LCSW
• Hannah Luchtefeld, RBT
• Heather Michele Ludwig Akers
• Luking Family Practice LLC
• Angela Lyke
• Ashley Lynch, LMHC
• M. G. Grundman & Sons Inc
• Kristin A Mahan, MD
• Lexi Major, LSW

• Family Nurse Practitioner in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.