Brian Luedke

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

9350080 Issued in FL

Practice address

5894 Calais LN
St Petersburg, FL 33714-2091

Phone

(727) 800-6128

NPI assigned

Nov 19, 2014

Sex

Male

Sole proprietor

No

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

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": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1477950442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5894 CALAIS LN",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337142091",
            "telephone_number": "727-800-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5894 CALAIS LN",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337142091",
            "telephone_number": "727-800-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEDKE",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9350080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine May Luck, PA-C
• Wendy Lucker, L.C.S.W.
• Samantha Lucrezia, M.D.
• Jenna Malone Ludin, DMD
• Kyle G Luecke, M.D.
• Jordan Luedy, APRN-CRNA
• Robert Walter Lufkin, M.D.
• Kathleen Luginbill, LCSW
• Esteban Enrique Lugo, M.D.
• Rhonda Latrese Lugo, LMHC

• Registered Nurse in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.