Katie Luebke, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

247844 Issued in AZ

Practice address

10240 N 31St Ave Ste 200
Phoenix, AZ 85051-9565

Phone

(602) 997-9006

NPI assigned

Sep 21, 2020

Last updated

Sep 21, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Center for Health and RecoveryGroup PAC ID 7012456387, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Calmcare, LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Phoenix, AZ
  • NPI 1083394795

  Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Center for Health and Recovery

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1023795879
  Medicare reassignment Care Compare group NPD
• Partners in Recovery, LLC

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1922232925
  Medicare reassignment NPD
• Center for Health and Recovery

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1962208058
  NPD
• Partners in Recovery, LLC

  dba ACT Metro IHH

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1306698436
  NPD
• Partners in Recovery, LLC

  • Community/Behavioral Health Agency
  • Glendale, AZ
  • NPI 1659623882
  NPD

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1225644776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10240 N 31ST AVE STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 N 31ST AVE STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519565",
            "telephone_number": "602-997-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEBKE",
        "first_name": "KATIE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "247844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "katie.luebke@copahealth.org",
            "affiliation": "N",
            "endpointDescription": "Work E-mail",
            "address_1": "10240 N 31st Ave Ste 200",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850519565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kymberly Sue Ludwig, PHARMD
• Laura Yvonne Ludwig
• Megan Ludwig, PHARMD
• Melissa R Ludwig, MD
• Michelle Andrea Ludwig, CD(DONA)
• Marni Luecht, RPH
• Alexandra Lueders
• Brandi Lynn Luedtke, PSYD
• Deanna Luekenga
• Ronald Shawn Luekenga, PD

• Psychiatric/Mental Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.