Nicole Louise Luckshis, APRN, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

30195 Issued in TN

Practice address

1310 24TH Ave S
Nashville, TN 37212-2637

Phone

(615) 873-6849

NPI assigned

Oct 28, 2021

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

Other names 1

• Nicole Louise Shreves Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1447914114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 MARTIN COVINGTON RD",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "371881200",
            "telephone_number": "615-513-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 24TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122637",
            "telephone_number": "615-873-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKSHIS",
        "first_name": "NICOLE",
        "middle_name": "LOUISE",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "30195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SHREVES",
            "middle_name": "LOUISE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Schuyler Lucio
• Kate Luck, CPNP
• Amy Luckenbaugh, MD
• Heather Luckenbaugh, NP-BC
• Kyle Patrick Luckey-Smith
• Nicolas Ludi
• Dina Marie Ludovici, RPH, PHARMD
• Erica Ann Ludtke, NP
• Charles Eugene Ludwig, FNP-C
• Irene H Ludwig, MD

• Nurse Practitioner in Nashville, TN
• Providers in Nashville, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.