Eclipse Wellness LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

ECLIPSE WELLNESS LLC

Practice address

623 W Newport Pike
Wilmington, DE 19804-3235

Phone

(302) 777-5473

Fax

(302) 777-5483

NPI assigned

Oct 7, 2021

Last updated

Dec 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda LuckanishNPI 1639471311

Title

Owner

Phone

(484) 919-1607

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shadara King, AGNP-C

  • Nurse Practitioner
  • Raleigh, NC
  • NPI 1093286015

  DE, Single Specialty

  Medicare reassignment NPD
• Amanda Florence Luckanish, NP-C

  • Family Nurse Practitioner
  • Wilmington, DE
  • NPI 1639471311
  Authorized official Same address or phone

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1245992262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 W NEWPORT PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198043235",
            "telephone_number": "302-777-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W NEWPORT PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198043235",
            "telephone_number": "302-777-5473",
            "fax_number": "302-777-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECLIPSE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2023-12-15",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "LUCKANISH",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-919-1607"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250694990",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eckerd Corporation (Eckerd)
• Christine Lynne Eckery, MA, LMT, CPT
• Aaron Eckhauser, MD
• Melissa Eckley, DDS, MS
• Ryan Patrick Eckley, DDS
• Lisa Ecret
• Steven L Edell, D.O.
• Maureen F. Edelson, MD
• Michael Jared Edenzon, DC
• Lauren Margaret Edgar, CPNP

• Pain Medicine Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Pain Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.