Individual provider Active NPI

Lianne R Luna, NURSE PRACTITIONER

  • Neonatal Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1487619243
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
RN042263 Issued in AZ
Practice address
901 E Willetta St
Suite #3503
Phoenix, AZ 85006-2727
Phone
(602) 239-5166
Fax
(602) 239-5295
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X RN042263 AZ Primary

Addresses

Primary practice location

901 E Willetta St
Suite #3503
Phoenix, AZ 85006-2727

Mailing address

6204 W Larkspur Dr
Glendale, AZ 85304-1707
Phone (623) 486-4743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN042263AZMDNeonatal Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487619243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6204 W LARKSPUR DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041707",
            "telephone_number": "623-486-4743",
            "fax_number": "602-239-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E WILLETTA ST",
            "address_2": "SUITE #3503",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062727",
            "telephone_number": "602-239-5166",
            "fax_number": "602-239-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA",
        "first_name": "LIANNE",
        "middle_name": "R",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "AZ",
            "license": "RN042263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.