Lux Psychiatric PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LUX PSYCHIATRIC PLLC

Practice address

3800 American Blvd W Ste 1500
Bloomington, MN 55431-4429

Phone

(346) 481-3421

Fax

(502) 385-6589

NPI assigned

Nov 29, 2021

Organization subpart

No

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

Authorized official

Name

Tasha U Oladipo, MSN, APRN

Title

Owner of Entity

Phone

(346) 481-3421

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1225796071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 AMERICAN BLVD W STE 1500",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554314429",
            "telephone_number": "346-481-3421",
            "fax_number": "502-385-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 AMERICAN BLVD W STE 1500",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554314429",
            "telephone_number": "346-481-3421",
            "fax_number": "502-385-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUX PSYCHIATRIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "OLADIPO",
        "authorized_official_first_name": "TASHA",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "346-481-3421",
        "authorized_official_credential": "MSN, APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zach Lundbohm, DC
• Richard Wayne Lundgren, PT
• Levi C Lutz, DO
• Simon Lutz, MS
• Steven Lutzwick, MD
• Fred A Lux, MD
• Luxottica of America Inc
• Luxottica of America Inc
• Luxottica of America Inc.
• Luxottica Retail North America Inc

• Psychiatric/Mental Health Nurse Practitioner in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.