Individual provider Active NPI

Alyssa Luckenbach, CF-SLP

  • Student in an Organized Health Care Education/Training Program
  • West Lake Hills, TX
National Provider Identifier
1598164485
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
110341 Issued in TX
Practice address
5524 Bee Caves Rd
West Lake Hills, TX 78746-5245
Phone
(512) 327-4499
NPI assigned
Aug 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 110341 TX Primary

Addresses

Primary practice location

5524 Bee Caves Rd
West Lake Hills, TX 78746-5245

Mailing address

5524 Bee Caves Rd
West Lake Hills, TX 78746-5245
Phone (512) 327-4499

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
110341TXMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1598164485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5524 BEE CAVES RD",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465245",
            "telephone_number": "512-327-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5524 BEE CAVES RD",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465245",
            "telephone_number": "512-327-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKENBACH",
        "first_name": "ALYSSA",
        "credential": "CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "110341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.