Lucinda L. Eley, RN FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2837-33 Issued in WI

Practice address

1430 4TH Street
School District Beloit Wellness Clinic
Beloit, WI 53511-4442

Phone

(608) 361-1950

Fax

(608) 365-1621

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Take Care Health Wisconsin, S.C

  • Family Nurse Practitioner
  • Milwaukee, WI
  • NPI 1730241258
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1609908771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 E. HUEBBE PARKWAY",
            "address_2": "BELOIT HEALTH SYSTEM, INC",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111842",
            "telephone_number": "608-364-2200",
            "fax_number": "608-363-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 4TH STREET",
            "address_2": "SCHOOL DISTRICT BELOIT WELLNESS CLINIC",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535114442",
            "telephone_number": "608-361-1950",
            "fax_number": "608-365-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELEY",
        "first_name": "LUCINDA",
        "middle_name": "L.",
        "credential": "RN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "2837-33",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "2837",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36001500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH PLAN",
            "identifier": "14766",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Edwards
• Leonard C. Egbujiobi, M.D.
• Mary Jo Ehle, OTR
• James Eischeid, LAT
• Eric Eisenberg, MD
• Wendy Ellenberger
• Jennifer Lynn Ellenson
• Ellis Psychotherapy, LLC
• Dana M Ellis
• Ember and Oak Counseling

• Family Nurse Practitioner in Beloit, WI
• Providers in Beloit, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.