Active NPI
Lunamed
- Family Nurse Practitioner
- Terre Haute, IN
National Provider Identifier
1356798060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71001901
- Legal business name
- LUNAMED
- Practice address
- 5665 Hallie Rae CT
Terre Haute, IN 47802-8244 - Phone
- (812) 240-4446
- NPI assigned
- May 23, 2016
- Last updated
- Aug 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Marie Cox, PMHNP/FNP
- Title
- Owner - Ceo
- Phone
- (812) 240-4446
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71001901 | IN | Primary |
Addresses
Primary practice location
5665 Hallie Rae CT
Terre Haute, IN 47802-8244
Mailing address
5665 Hallie Rae CT
Terre Haute, IN 47802-8244
Phone (812) 240-4446
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Terre Haute, IN
- NPI 1528008893
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470096000000",
"number": "1356798060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5665 HALLIE RAE CT",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478028244",
"telephone_number": "812-240-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5665 HALLIE RAE CT",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478028244",
"telephone_number": "812-240-4446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUNAMED",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-23",
"last_updated": "2016-08-02",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER - CEO",
"authorized_official_telephone_number": "812-240-4446",
"authorized_official_credential": "PMHNP/FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71001901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
- Lucidus Diagnostics LLC
- Callie Marie Ludwig, MS, CCC-SLP
- Christopher A Lueking, M.D.
- Joseph J Lugar Jr., RPH
- Ambraysha Lujan
- Virgil R. Lungu Jr., DDS
- McKenna Lunsford, LSW
- Aaron Matthew Luttrell, D.D.S.
- Luxottica of America Inc. (LensCrafters #889)
- Luxottica Retail North America Inc (Sears Optical #C0555)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.