Jeffrey Luckett

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

AP8054 Issued in AZ

Practice address

9200 N Central Ave Ste 2
Phoenix, AZ 85020-2463

Phone

(480) 999-4954

Fax

(480) 999-4712

NPI assigned

Sep 30, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Alveo LC

  dba Arizona Chest and Sleep Medicine

  • Pulmonary Disease Physician
  • Phoenix, AZ
  • NPI 1639517436
  Medicare reassignment NPD
• Unomed LLC

  dba Continuity Care Specialists

  • Critical Care Medicine (Internal Medicine) Physician
  • Phoenix, AZ
  • NPI 1972912228
  Medicare reassignment NPD
• Symphysis LLC

  • Pulmonary Disease Physician
  • Scottsdale, AZ
  • NPI 1770755696
  NPD (past)
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1336519552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 N CENTRAL AVE STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202463",
            "telephone_number": "480-999-4954",
            "fax_number": "480-999-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 N CENTRAL AVE STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202463",
            "telephone_number": "480-999-4954",
            "fax_number": "480-999-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKETT",
        "first_name": "JEFFREY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-30",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP8054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096036",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William N Luciano, MD
• Lucid Behavioral Health LLC
• Wendy Ann Lucid, MD
• Guylene Lucien
• Raul Lucio
• Tamara L Luckett, LCSW
• Lucky Pennies LLC
• Lucy Homes LLC
• Tony Ludden, PHARM D.
• Dale Allen Ludke, ORTHOTIC FITTER

• Acute Care Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Acute Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.