Active NPI
Andra Beth Luke, APRN
- Neonatal Nurse Practitioner
- North Chesterfield, VA
National Provider Identifier
1629136056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 2014010578
- Practice address
- 1401 Johnston Willis Dr
North Chesterfield, VA 23235-4789 - Phone
- (804) 483-6352
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 2014010578 | MO | Primary |
Addresses
Primary practice location
1401 Johnston Willis Dr
North Chesterfield, VA 23235-4789
Mailing address
1821 Tristan Rd
Chesapeake, VA 23320-6154
Phone (757) 536-5371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629136056 | Other | MO | WEBSITE APPLICATION, NEEDED FOR WORK |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014010578 | MO | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cotton-O'Neil Clinic Revocable Trust | Past | Accepting new patients |
Interoperability endpoints
- aluke94762@stormontvaildirect.org
Organizations & group practices 1
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.
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- Internal Medicine Physician
- Topeka, KS
- NPI 1811944457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1629136056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 TRISTAN RD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233206154",
"telephone_number": "757-536-5371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 JOHNSTON WILLIS DR",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232354789",
"telephone_number": "804-483-6352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKE",
"first_name": "ANDRA",
"middle_name": "BETH",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2025-09-11",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "MO",
"license": "2014010578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WEBSITE APPLICATION, NEEDED FOR WORK",
"identifier": "1629136056",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.