William Brian Luchtefeld, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

101018 Issued in MO

Practice address

10600 Lewis and Clark Blvd
Saint Louis, MO 63136-6005

Phone

(314) 286-6988

Fax

(314) 868-2561

NPI assigned

Apr 5, 2006

Sex

Male

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1700848611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 GILBERT LN",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025504",
            "telephone_number": "618-465-7470",
            "fax_number": "314-868-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 LEWIS AND CLARK BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366005",
            "telephone_number": "314-286-6988",
            "fax_number": "314-868-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCHTEFELD",
        "first_name": "WILLIAM",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "101018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Nicholes Lucas, O.D.
• Kerith Lucia Lucco, M.D.
• Brendan P Lucey, MD
• Gerald J Luchtefeld, CRNA
• Stephen James Luchtefeld, D.O.
• Jessica Lauren Lucido
• Jessica Pearl Mei-Jan Lucido, NP
• Lucilles Helpping Hands
• Laurie L Luck, CRNA
• Lucy'S Trusted Homecare, LLC.

• Adult Health Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.