Organization Active NPI

Lumana LTD. Co

  • Health & Wellness Coach
  • Phoenix, AZ
National Provider Identifier
1720600042
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
LUMANA LTD. CO
Practice address
221 E Indianola Ave
Phoenix, AZ 85012-2002
Phone
(702) 329-0700
NPI assigned
May 8, 2020
Last updated
Dec 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Fionda Williams Brock, RNNPI 1609645241
Title
Ceo
Phone
(702) 329-0799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X Primary
Case Management Agency 251B00000X
Nursing Care Agency 251J00000X

Addresses

Primary practice location

221 E Indianola Ave
Phoenix, AZ 85012-2002

Mailing address

1001 S Main St Ste 5125
Kalispell, MT 59901-5635
Phone (702) 329-0799

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1720600042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S MAIN ST STE 5125",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015635",
            "telephone_number": "702-329-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E INDIANOLA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122002",
            "telephone_number": "702-329-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMANA LTD. CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "FIONDA",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-329-0799",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.