Active NPI
Angela Patricia Lukomski, CPNP
- Pediatric Nurse Practitioner
- Farmington, MI
National Provider Identifier
1295826477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 4704195194
- Practice address
- 23133 Orchard Lake Rd
Suite 100
Farmington, MI 48336-3268 - Phone
- (248) 477-0100
- Fax
- (248) 477-6153
- NPI assigned
- Sep 27, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 4704195194 | MI | |
| Pediatric Nurse Practitioner | 363LP0200X | 4704195194 | MI | Primary |
Addresses
Primary practice location
23133 Orchard Lake Rd
Suite 100
Farmington, MI 48336-3268
Mailing address
23133 Orchard Lake Rd
Suite 100
Farmington, MI 48336-3268
Phone (248) 477-0100
Other names 1
- Miss Angela Patricia Baker
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)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704195194 | MI | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Botsford General Hospital | Past | Accepting new patients | |
| Botsford General Hospital | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Farmington, MI
- NPI 1437191947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378771200000",
"number": "1295826477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23133 ORCHARD LAKE RD",
"address_2": "SUITE 100",
"city": "FARMINGTON",
"state": "MI",
"postal_code": "483363268",
"telephone_number": "248-477-0100",
"fax_number": "248-477-6153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23133 ORCHARD LAKE RD",
"address_2": "SUITE 100",
"city": "FARMINGTON",
"state": "MI",
"postal_code": "483363268",
"telephone_number": "248-477-0100",
"fax_number": "248-477-6153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKOMSKI",
"first_name": "ANGELA",
"middle_name": "PATRICIA",
"name_prefix": "Mrs.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2013-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "MI",
"license": "4704195194",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MI",
"license": "4704195194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "BAKER",
"middle_name": "PATRICIA",
"prefix": "MISS",
"credential": "CPNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Farmington, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.