Organization Active NPI

Lumas Healthcare and Associates LLC

  • Family Nurse Practitioner
  • Grenada, MS
National Provider Identifier
1396476875
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LUMAS HEALTHCARE AND ASSOCIATES LLC
Practice address
340 Van Dorn St
Grenada, MS 38901-4738
Phone
(662) 520-8663
NPI assigned
Jun 23, 2022
Last updated
Jun 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Shakeva M Lumas, AANPNPI 1356072565
Title
FNP-C
Phone
(662) 520-8663

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)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

340 Van Dorn St
Grenada, MS 38901-4738

Mailing address

340 Van Dorn St
Grenada, MS 38901-4738
Phone (662) 520-8663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230111002183 MS Part B Supplier - Clinic/Group Practice 7618347428 Receives reassigned benefits from 1 practitioner
Practice locations: Grenada, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2264551Lumas Healthcare and Associates LLC340 Van Dorn St RM #1, Grenada, MS 38901Certificate of waiverJul 14, 2026

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1396476875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 VAN DORN ST",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014738",
            "telephone_number": "662-520-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 VAN DORN ST",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014738",
            "telephone_number": "662-520-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMAS HEALTHCARE AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "LUMAS",
        "authorized_official_first_name": "SHAKEVA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FNP-C",
        "authorized_official_telephone_number": "662-520-8663",
        "authorized_official_credential": "AANP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grenada, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.