Patricia Luevano

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209020341 Issued in IL

Practice address

1447 N Wood St
Chicago, IL 60622-2533

Phone

(708) 205-2012

NPI assigned

Oct 31, 2019

Last updated

Apr 25, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in IL

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Erie Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1760499545
  Medicare reassignment NPD
• Erie Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1548062318
  NPD
• Erie Family Health Center, Inc

  dba Erie Teen Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1134316631
  NPD
• Denver Wellness Associates

  • Child & Adolescent Psychiatry Physician
  • Broomfield, CO
  • NPI 1396577177
  NPD
• Denver Wellness Associates

  • Psychiatry Physician
  • Greenwood Village, CO
  • NPI 1851177588
  NPD (past)

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1396389540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 S COLORADO BLVD # 1046",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802462080",
            "telephone_number": "708-205-2012",
            "fax_number": "773-915-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 N WOOD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222533",
            "telephone_number": "708-205-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEVANO",
        "first_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209020341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Thomas Luebbe
• William P Luebbe, D.O.
• Luella Health Service LLC
• Michael Luetkens, LPC
• Melissa Lauren Phee Luety, P.T., D.P.T
• Sarahi Luevano
• Mojisola Lateefat Lugboso, AGENCY MANAGER
• Daniel Luger
• Kara Luger, LSW
• Olga Lugo-Torres, MD

• Psychiatric/Mental Health Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.