Carrie Lujan, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0995162 Issued in CO

Practice address

1001 Cecelia Dr Ste 200
Pewaukee, WI 53072-2500

Phone

(262) 260-9000

NPI assigned

Aug 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Valdez & Soto, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pewaukee, WI
  • NPI 1114377702
  NPD

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1487201034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 S COLORADO BLVD STE 810",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223351",
            "telephone_number": "303-223-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CECELIA DR STE 200",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530722500",
            "telephone_number": "262-260-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUJAN",
        "first_name": "CARRIE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "9486",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0995162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lighthouse Counseling Services, LLC
• Kellie Jo Lindberg, OT
• Living Assistance Waukesha LLC
• Living Assistance, Inc
• Andrew Vernon Ludeman, DC
• Robert Thomas Lynch, DDS
• Jamie L Mabeus, D.C.
• Ariane Machin, PH.D.
• Ingo G Mahn, DDS
• Melissa Malloy, PA-C

• Psychiatric/Mental Health Nurse Practitioner in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.