Lustig Health & Wellness Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LUSTIG HEALTH & WELLNESS CENTER

Practice address

1950 Keene Rd BLDG J
Richland, WA 99352-7752

Phone

(509) 531-7192

NPI assigned

Dec 3, 2019

Last updated

Apr 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robin Emerick

Title

Office Manager

Phone

(509) 943-6800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tabitha C Lustig, NP

  • Family Nurse Practitioner
  • Kennewick, WA
  • NPI 1184985152
  Medicare reassignment NPD

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1528605102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 KEENE RD BLDG J",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993527752",
            "telephone_number": "509-531-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 KEENE RD BLDG J",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993527752",
            "telephone_number": "509-531-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUSTIG HEALTH & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "EMERICK",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-943-6800"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Luna, LPN
• Cynthia Lundgreen, RDH
• Lynn D Lundrigan, DC
• Carmela Del Rosario Luper, MEDICAL INTERPRETER
• Deborah Mae Lusch, RN
• Desirae Lyall, PT
• Lycan Counseling, PLLC (Lycan Counseling Collective)
• Kimberly Lycan, LMHC
• Keefe Lynch, DPT
• Melissa Machowicz

• Primary Care Clinic/Center in Richland, WA
• Providers in Richland, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.