Luciane Timoteo, RN

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

RN9416031 Issued in FL

Practice address

61 Memorial Medical Pkwy Ste 2815
Palm Coast, FL 32164-5999

Phone

(386) 586-2000

NPI assigned

Sep 18, 2023

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

Other names 1

• Luciane Tarter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1306624762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MEMORIAL MEDICAL PKWY STE 2815",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645999",
            "telephone_number": "386-586-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MEMORIAL MEDICAL PKWY STE 2815",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645999",
            "telephone_number": "386-586-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMOTEO",
        "first_name": "LUCIANE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "RN9416031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCIANE",
            "last_name": "TARTER",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Venkata Ram Prasad Thota, M.D.
• John Willaim Thousand IV, D.D.S.
• Thrive PT & Wellness LLC
• Tigris Rivers
• Katherine Love Timlin, SLP
• Timothy W Valk MD PA
• Colleen Alma Tito, DC
• Dwight Peter Lim Tiu, M.D.
• Tkvelez Surgical Assisting, Inc.
• TLC Transportation Group LLC

• Student in an Organized Health Care Education/Training Program in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Student in an Organized Health Care Education/Training Program in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.