Donna Luckett, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

25840 Issued in TN

Practice address

1175 Vickery LN Ste 101
Cordova, TN 38016-0682

Phone

(662) 408-6995

Fax

(901) 425-9884

NPI assigned

Feb 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, MS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gentleear Geriatric Services PLLC

  • Primary Care Nurse Practitioner
  • Memphis, TN
  • NPI 1922898113
  Medicare reassignment NPD Authorized official
• Superiorcare Medical Group LLC

  • Family Nurse Practitioner
  • Cordova, TN
  • NPI 1124802178

  MS

  Medicare reassignment Authorized official
• Adult and Adolescent Medicine Clinics PLLC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1538276704
  Medicare reassignment NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Ripley, MS
  • NPI 1447769559

  Family

  Medicare reassignment NPD
• Health Providers of America, LLC

  • Primary Care Nurse Practitioner
  • Cincinnati, OH
  • NPI 1316560972

  MS, TN

  Medicare reassignment NPD
• Superiorcare Care Homes

  • Community/Behavioral Health Agency
  • Memphis, TN
  • NPI 1790472298
  NPD (past) Authorized official
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Kosciusko, MS
  • NPI 1851050579
  NPD

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1609332840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 BUCK CREEK CV",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386328090",
            "telephone_number": "662-408-6995",
            "fax_number": "901-425-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 VICKERY LN STE 101",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160682",
            "telephone_number": "662-408-6995",
            "fax_number": "901-425-9884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2552 Poplar Ave Ste 4F",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381123834",
            "country_code": "US",
            "telephone_number": "901-673-9944",
            "fax_number": "901-425-9884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3021 Brunswick Rd Ste 1105",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381334198",
            "country_code": "US",
            "telephone_number": "901-726-3979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1223 Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386711429",
            "country_code": "US",
            "telephone_number": "662-408-6995",
            "fax_number": "901-425-9884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCKETT",
        "first_name": "DONNA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lovinghandsofangels LLC
• Lowery Optical
• Brylie Lowery, RBT
• LSN Home Healthcare
• Joseph Ardiel Dayao Lubrico, DPT
• Lucy H. Digmon
• Gary B Lum, M.D.
• Keenan Luster
• Luxottica Retail North America Inc
• Lyfe Love & Care Home Health

• Family Nurse Practitioner in Cordova, TN
• Providers in Cordova, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.