Donna Lee Luckett

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704217517 Issued in MI

Practice address

1118 Temple St SE
Grand Rapids, MI 49507-1967

Phone

(616) 295-6582

NPI assigned

Mar 14, 2019

Last updated

Mar 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1629537220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 TEMPLE ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495071967",
            "telephone_number": "616-295-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 TEMPLE ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495071967",
            "telephone_number": "616-295-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKETT",
        "first_name": "DONNA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704217517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora Mei Luchs, LMSW
• Martin Luchtefeld, MD
• Mary M Luciani
• Alison Meredith Luck
• Amber Luckett
• Roneidra Dionne-Hill Lucky, MSN, CNM
• Kelly D. Ludema, D.O.
• Kristen E Ludema, D.O.
• Jurgen Luders, MD
• Rebecca Ann Luders, NP-C

• Registered Nurse in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.