Luxe Life Medical LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

LUXE LIFE MEDICAL LLC

Practice address

606 Lincolnway
Valparaiso, IN 46383-5728

Phone

(219) 247-4003

NPI assigned

Dec 7, 2020

Last updated

Sep 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Victoria Moerman, FNPNPI 1003467218

Title

Owner/FNP

Phone

(219) 247-4003

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23393/brand/1/csg/1/fhir/r4

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.

• Elizabeth Victoria Moerman, FNP

  • Nurse Practitioner
  • Valparaiso, IN
  • NPI 1003467218
  Authorized official Same address or phone

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1720684673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 LINCOLNWAY",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835728",
            "telephone_number": "219-247-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 LINCOLNWAY",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835728",
            "telephone_number": "219-247-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXE LIFE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2023-09-06",
        "certification_date": "2022-05-01",
        "status": "A",
        "authorized_official_last_name": "MOERMAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER/FNP",
        "authorized_official_telephone_number": "219-247-4003",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300032267",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN MEDICARE",
            "identifier": "IN4530",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joe Gregory Lucio
• Thomas E Ludwig, MD
• Alexis Christine Lueth
• Benedict Iane Roque Lusung
• Ashlee Luttinen
• John Christopher Lynam, D.O.
• Anna Lynch, MSW
• Kristen Marie Lynch, FNP-C
• William Arthur Lyzak Jr., DMD
• Gregory Scott Macdonald, DDS

• Family Nurse Practitioner in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.