Jaime Lea Lusk, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

049155332 Issued in IL

Practice address

409 S 13TH St
Belleville, IL 62220-1840

Phone

(702) 343-5055

NPI assigned

Aug 18, 2009

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

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1497987804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 13TH ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201840",
            "telephone_number": "702-343-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S 13TH ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201840",
            "telephone_number": "702-343-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSK",
        "first_name": "JAIME",
        "middle_name": "LEA",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MO",
            "license": "2008026976",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "IL",
            "license": "049155332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan W Luchtefeld, DMD
• Krista N Ludwig, FNP
• Olivia Jo Ludwig, M.D.
• Yu Lun, MD
• Sarah A. Luong, FNP-C
• Cameron Marie Moet Luster, LPN
• Bridget Lybarger, D.C.
• Lori Frances Lynn, CRNA
• Kristin Renee Maberry, CRNA
• Monique Mabry

• Pharmacy Technician in Belleville, IL
• Providers in Belleville, IL by specialty
• Pharmacy Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.