Active NPI
Gheisa Luna
- Specialist
- Lakewood, CO
National Provider Identifier
1679965032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0016074
- Practice address
- 11098 W Jewell Ave
#A-5
Lakewood, CO 80232-6123 - Phone
- (303) 984-4209
- NPI assigned
- Feb 23, 2015
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 0016074 | CO | Primary |
Addresses
Primary practice location
11098 W Jewell Ave
#A-5
Lakewood, CO 80232-6123
Mailing address
11098 W Jewell Ave
#A-5
Lakewood, CO 80232-6123
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0016074 | CO | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424649600000",
"number": "1679965032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11098 W JEWELL AVE",
"address_2": "#A-5",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802326123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11098 W JEWELL AVE",
"address_2": "#A-5",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802326123",
"telephone_number": "303-984-4209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNA",
"first_name": "GHEISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-23",
"last_updated": "2015-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "0016074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.