Individual provider Active NPI

Shannon Noel Lukez, ARNP-BC

  • Adult Health Nurse Practitioner
  • Morgantown, WV
National Provider Identifier
1497986301
Registry record updated Mar 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN85183-ANP-BC Issued in WV
Practice address
2195 Cheat Rd
Suite 2
Morgantown, WV 26508-0022
Phone
(304) 594-0456
Fax
(304) 594-3249
NPI assigned
Jul 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X COA10804NP OH
Adult Health Nurse Practitioner 363LA2200X APRN85183-ANP-BC WV Primary

Addresses

Primary practice location

2195 Cheat Rd
Suite 2
Morgantown, WV 26508-0022

Mailing address

2195 Cheat Rd
Suite 2
Morgantown, WV 26508-0022
Phone (304) 594-0456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA10804NPOHMDAdult Health Nurse Practitioner
APRN85183-ANP-BCWVMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426982400000",
    "number": "1497986301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 CHEAT RD",
            "address_2": "SUITE 2",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265080022",
            "telephone_number": "304-594-0456",
            "fax_number": "304-594-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 CHEAT RD",
            "address_2": "SUITE 2",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265080022",
            "telephone_number": "304-594-0456",
            "fax_number": "304-594-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKEZ",
        "first_name": "SHANNON",
        "middle_name": "NOEL",
        "credential": "ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2015-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA10804NP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WV",
            "license": "APRN85183-ANP-BC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2015; 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.