Luciana G. Anthony, WHNP
Individual provider Active NPI Women's Health Nurse Practitioner · Mesa, AZ
NPI 1699728147 · NPPES record last updated Sep 12, 2024
Key facts
- NPI
- 1699728147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- AP1384 (AZ)
- Practice address
- 1142 E Southern Ave Ste 101
Mesa, AZ 85204-5056 - Phone
- (480) 821-3600
- Fax
- (480) 963-0470
- NPI assigned
- May 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Momdoc LLC
Practice addresses (Care Compare)
Chandler, AZ 85224
Phone (480) 821-3600
1142 E Southern Ave
Suite 101
Mesa, AZ 85204-5056
Phone (480) 821-3600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090218000113 | AZ | Practitioner - Nurse Practitioner | 6800951237 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Pregnancy Perinatology, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | AP1384 | AZ | Yes |
Addresses
Primary practice location
1142 E Southern Ave Ste 101
Mesa, AZ 85204-5056
Mailing address
PO Box 6730
Chandler, AZ 85246-6730
Phone (480) 821-3600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 627490 | Medicaid | AZ |
Other providers in Mesa, AZ
- Baynazier Ansari
- Antoinetta V Anselmo
- Amy H Anson
- Anthem South LLC
- Lina Anthony
- Mark S. Anthony
- Stephen John Anthony
- Anti-Aging Institute of Arizona, Inc.
- Kelechi Anujuo
- Liza Anwar
All providers in Mesa, AZ · Women's Health Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.