Moreen Lusk, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146008153 Issued in IL

Practice address

2612 Bennington Dr
Springfield, IL 62704-4223

Phone

(217) 502-0938

NPI assigned

Nov 9, 2006

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

Practice roles

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.

• Lusk Services PC

  • Early Intervention Provider Agency
  • Chatham, IL
  • NPI 1588282206

  Speech-Language Pathologist

  NPD Authorized official

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1740350511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 BENNINGTON DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044223",
            "telephone_number": "217-502-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 BENNINGTON DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044223",
            "telephone_number": "217-502-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSK",
        "first_name": "MOREEN",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146008153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea M Lukert, RBT
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• Samantha Lund, MD
• Samantha Lunde, LCSW
• Claire Lupton, OD
• Justyn Lutfy, MD CM, FRCS(C)
• Lutheran Child and Family Service of Illinois
• Lutheran Child and Family Services of Illinois
• Lutheran Retirement Center Association
• Lutheran Senior Services

• All providers in Springfield, IL
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.