Kassandra L Luoma

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704156833 Issued in MI

Practice address

33475 Palmer Rd
Westland, MI 48186-4614

Phone

(734) 728-2423

Fax

(734) 728-2183

NPI assigned

May 18, 2010

Last updated

Oct 22, 2020By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: kluoma124087@direct.beaumont.edu

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1669791539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1863",
            "fax_number": "947-522-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33475 PALMER RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481864614",
            "telephone_number": "734-728-2423",
            "fax_number": "734-728-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUOMA",
        "first_name": "KASSANDRA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704156833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kluoma124087@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "33475 Palmer Rd",
            "city": "Westland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481864614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Judith G Lolas, LMSW ACSW
• Louis C. Tegtmeyer, D.O. P.C.
• Jaavaid Love
• Xavier Love, RN
• Bruce M Lowell, D.D.S.
• Darrell William Lupu, PHARMACIST
• Luxottica of America Inc. (Lenscrafters #426)
• Jan Patricia C Maala
• Louis-Richard Macfarlane
• Katie Macheske

• Family Nurse Practitioner in Westland, MI
• Providers in Westland, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.