Rebecca Lynn Lucking, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

R1792650 Issued in MN

Practice address

3400 W 66TH St Ste 290
Edina, MN 55435-2133

Phone

(952) 914-1797

NPI assigned

Oct 18, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Interoperability endpoints

• Direct secure messaging: rlucking286950@fairview.direct-ci.com

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.

• Fairview Clinics

  • Primary Care Clinic/Center
  • Minneapolis, MN
  • NPI 1346432218
  Medicare reassignment NPD
• Fairview Clinics

  • Primary Care Clinic/Center
  • Eagan, MN
  • NPI 1043402688
  NPD
• Fairview Clinics

  • Primary Care Clinic/Center
  • Saint Paul, MN
  • NPI 1396552147
  NPD
• Martin LM LLC

  • Skilled Nursing Facility
  • Bloomington, MN
  • NPI 1629148929
  NPD (past)

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1356694079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W 66TH ST STE 290",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352133",
            "telephone_number": "612-419-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W 66TH ST STE 290",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352133",
            "telephone_number": "952-914-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKING",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "R1792650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Ann Loyd, APRN
• Kay D Lozano, MD
• LRC Counseling, P.a.
• Marie Joycelyn Lua, DMD MS
• Christopher Thomas Lucido, MD/PHD
• Brittany Luddington-Melendez, MSW, LGSW
• Ann Marie Ludwig, MD
• Christina Kathryn Luebke, PA-C
• David Michael Lueck, M.S.
• Addison Debra Luehrs, RD

• Gerontology Nurse Practitioner in Edina, MN
• Providers in Edina, MN by specialty
• Gerontology Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.