Katherine Elizabeth Luebke, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Hamlet, NC
NPI 1487735890 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1487735890
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 186647 (NC)
- Practice address
- 1000 W Hamlet Ave
Hamlet, NC 28345-4522 - Phone
- (910) 205-0400
- Fax
- (910) 205-7796
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 186647 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamlet Hma Inc | Past | Accepting new patients | |
| Hamlet Hma Inc | Past | Accepting new patients | |
| Anesthesiologists of Middletown, P.C. | Past |
Accepting new patients | |
| Anesthesiology Consultants PC | Past | Accepting new patients | |
| Hamlet Hma Physician Management, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 186647 | NC | Yes |
Addresses
Primary practice location
1000 W Hamlet Ave
Hamlet, NC 28345-4522
Mailing address
PO Box 1227
Hamlet, NC 28345-1227
Phone (910) 205-7775
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NAN472 | Medicaid | SC | |
| 8051719 | Medicaid | NC |
Other providers in Hamlet, NC
- Ashley Nicole Lambert
- Lane and Associates Xxviii, DDS PA
- Jennifer Marie Leggett
- Sherry Leviner
- Lifes Restoration House
- Hector Luis Luna
- Laura Marie Macri
- Siddharth Ved Malhotra
- Charlita Mangrum
- Marlboro Gastroenterology Associates PA
All providers in Hamlet, NC · Certified Registered Nurse Anesthetist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.