Active NPI
Laura L Lusk, ARNP
- Nurse Practitioner
- Ferndale, WA
National Provider Identifier
1245311406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30004955
- Practice address
- 5616 3Rd Avenue
Ferndale, WA 98248 - Phone
- (360) 752-7410
- Fax
- (360) 383-0808
- NPI assigned
- Oct 17, 2006
- Last updated
- Apr 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30004955 | WA | Primary |
| General Practice Registered Nurse | 163WG0000X | AP30004955 | WA |
Addresses
Primary practice location
5616 3Rd Avenue
Ferndale, WA 98248
Mailing address
220 Unity St
Bellingham, WA 98225-4429
Phone (360) 676-6177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0191064 | Other | WA | LABOR&INDUSTRY-LUSK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floyd D Smith, MD, Internal Medicine, PS | Current | Accepting new patients | |
| Washington Park Medical Center, Inc PS | Past | Accepting new patients | |
| Pacific County Hospital District 2 | Past | Accepting new patients |
Locations
1611 Kresky Ave
Ste 112
Centralia, WA 98531
Phone (360) 330-2023
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FGDCCA
Organizations & group practices 3
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.
-
- Medical Specialty Clinic/Center
- Centralia, WA
- NPI 1932597077
-
dba Willapa Medical Clinic
- Rural Health Clinic/Center
- South Bend, WA
- NPI 1760582522
-
- Family Medicine Physician
- Centralia, WA
- NPI 1093729329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1245311406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 UNITY ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254429",
"telephone_number": "360-676-6177",
"fax_number": "360-527-8778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5616 3RD AVENUE",
"city": "FERNDALE",
"state": "WA",
"postal_code": "98248",
"telephone_number": "360-752-7410",
"fax_number": "360-383-0808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSK",
"first_name": "LAURA",
"middle_name": "L",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30004955",
"primary": true
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "WA",
"license": "AP30004955",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR&INDUSTRY-LUSK",
"identifier": "0191064",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ferndale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.