Vivian Lukes-Pelton

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

166767 Issued in NY

Practice address

20 Jerusalem Ave
Hicksville, NY 11801-4980

Phone

(516) 326-2020

Fax

(516) 719-7373

NPI assigned

Feb 6, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1275957524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CHAUTAUQUA AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115524206",
            "telephone_number": "516-326-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 JERUSALEM AVE",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014980",
            "telephone_number": "516-326-2020",
            "fax_number": "516-719-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKES-PELTON",
        "first_name": "VIVIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "166767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LS Family Medicine PC
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• Erika Lundy
• Debra Luongo-Stallone
• Joseph Anthony Lupo, D.C.
• Jordana Luther
• Luxottica Retail North America Inc

• Licensed Practical Nurse in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.