Individual provider Active NPI

Lisa De Luccia, RN

  • Registered Nurse
  • Poughkeepsie, NY
National Provider Identifier
1447717855
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
745408-1 Issued in NY
Practice address
40 Kerr Rd
Poughkeepsie, NY 12601-5826
Phone
(845) 298-5280
Fax
(845) 298-2570
NPI assigned
Feb 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 745408-1 NY Primary

Addresses

Primary practice location

40 Kerr Rd
Poughkeepsie, NY 12601-5826

Mailing address

40 Kerr Rd
Poughkeepsie, NY 12601-5826
Phone (845) 298-5280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
745408-1NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
WCSD Past Accepting new patients
Wappingers Central School District Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1447717855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 KERR RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126015826",
            "telephone_number": "845-298-5280",
            "fax_number": "845-298-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 KERR RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126015826",
            "telephone_number": "845-298-5280",
            "fax_number": "845-298-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LUCCIA",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "745408-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.