Individual provider Active NPI

Maria Salisbury Luna-Wolfe, APRN-PMH

  • Adult Psychiatric/Mental Health Registered Nurse
  • Kingman, AZ
National Provider Identifier
1326232687
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
151919 Issued in AZ
Practice address
512 E Oak St
Kingman, AZ 86401-5931
Phone
(928) 303-4152
Fax
(928) 303-4152
NPI assigned
Aug 30, 2007
Last updated
Sep 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 151919 AZ Primary

Addresses

Primary practice location

512 E Oak St
Kingman, AZ 86401-5931

Mailing address

512 E Oak St
Kingman, AZ 86401-5931
Phone (928) 303-4152

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 Nurse Specialist

State licenses

LicenseStateTypeSpecialty
151919AZMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1326232687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E OAK ST",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864015931",
            "telephone_number": "928-303-4152",
            "fax_number": "928-303-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E OAK ST",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864015931",
            "telephone_number": "928-303-4152",
            "fax_number": "928-303-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA-WOLFE",
        "first_name": "MARIA",
        "middle_name": "SALISBURY",
        "name_prefix": "Ms.",
        "credential": "APRN-PMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "AZ",
            "license": "151919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.