Active NPI
Tina Lu
- Family Nurse Practitioner
- Sunnyvale, CA
National Provider Identifier
1306288410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95013599
- Practice address
- 576 E El Camino Real
Sunnyvale, CA 94087-1940 - Phone
- (408) 739-4620
- NPI assigned
- Jul 18, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95206987 | CA | |
| Registered Nurse | 163W00000X | 22 644205 | NY | |
| Family Nurse Practitioner | 363LF0000X | 338679 | NY | |
| Family Nurse Practitioner | 363LF0000X | 95013599 | CA | Primary |
Addresses
Primary practice location
576 E El Camino Real
Sunnyvale, CA 94087-1940
Mailing address
576 E El Camino Real
Sunnyvale, CA 94087-1940
Phone (408) 739-4620
Other practice location 1
241 W 57th St
New York, NY 10019-2121
Phone (866) 389-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 76.8 of 100
- Quality
- 65.04
- Improvement activities
- 40
- Cost
- 86.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22 644205 | NY | MD | Registered Nurse |
| 338679 | NY | MD | Family Nurse Practitioner |
Interoperability endpoints
- tina.lu.1@19661.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579910400000",
"number": "1306288410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 E EL CAMINO REAL",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940871940",
"telephone_number": "408-739-4620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 E EL CAMINO REAL",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940871940",
"telephone_number": "408-739-4620"
}
],
"practiceLocations": [
{
"address_1": "241 W 57th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100192121",
"country_code": "US",
"telephone_number": "866-389-2727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LU",
"first_name": "TINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-18",
"last_updated": "2020-01-25",
"certification_date": "2020-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95206987",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "22 644205",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "338679",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95013599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.