Luminalife LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LUMINALIFE LLC

Practice address

6751 NW 10TH St
Des Moines, IA 50313-5467

Phone

(515) 661-8400

NPI assigned

Apr 8, 2024

Organization subpart

No

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

Authorized official

Name

Kip Woods

Title

Ceo

Phone

(515) 661-8400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1245083567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6751 NW 10TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503135467",
            "telephone_number": "515-661-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6751 NW 10TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503135467",
            "telephone_number": "515-661-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINALIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "KIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "515-661-8400"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwen George Luepke, M.D.
• Michael Luepke, MD
• Brenda J Lugo, PHYSICIAN ASSISTANT
• Karley Lujan
• Nicole Diann Lullman
• Raenesha Luna
• Annette Lund, LMHC
• Gina Lund
• Joshua Joseph Lundahl, MSW
• Jerilyn S Lundberg, MD

• Community/Behavioral Health Agency in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Community/Behavioral Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.