Active NPI
James R Luedtke, INDEPENDENT DUTY HM
- Other Technician
- Millington, TN
National Provider Identifier
1710948245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- USN HM8425-9002
- Practice address
- 5722 Integrity Drive, BLDG S771
NBHC, Nsa Mid-South
Millington, TN 38054 - Phone
- (901) 874-6100
- NPI assigned
- Apr 2, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | USN HM8425-9002 | Primary |
Addresses
Primary practice location
5722 Integrity Drive, BLDG S771
NBHC, Nsa Mid-South
Millington, TN 38054
Mailing address
5722 Integrity Drive
C/O Commander Navy Recruiting Command
Millington, TN 38045-5057
Phone (901) 874-9417
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Branch Medical Clinic Mid-South | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Millington, TN
- NPI 1245295971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215993600000",
"number": "1710948245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5722 INTEGRITY DRIVE",
"address_2": "C/O COMMANDER NAVY RECRUITING COMMAND",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "380455057",
"telephone_number": "901-874-9417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5722 INTEGRITY DRIVE, BLDG S771",
"address_2": "NBHC, NSA MID-SOUTH",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "38054",
"telephone_number": "901-874-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUEDTKE",
"first_name": "JAMES",
"middle_name": "R",
"credential": "INDEPENDENT DUTY HM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-02",
"last_updated": "2008-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": "USN HM8425-9002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.