Individual provider Active NPI

Alyza B Luenebrink, RBT

  • Technician/Technologist
  • Indianapolis, IN
National Provider Identifier
1760272207
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Technician/TechnologistTaxonomy code 156F00000X
License
358167 Issued in IN
Practice address
10475 Crosspoint Blvd Ste 250
Indianapolis, IN 46256-3387
Phone
(317) 203-8002
NPI assigned
May 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X 358167 IN Primary

Addresses

Primary practice location

10475 Crosspoint Blvd Ste 250
Indianapolis, IN 46256-3387

Mailing address

10068 N County Road 375 E
Seymour, IN 47274-9120
Phone (812) 447-5771

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

State licenses

LicenseStateTypeSpecialty
358167INMDTechnician/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1760272207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10068 N COUNTY ROAD 375 E",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472749120",
            "telephone_number": "812-447-5771",
            "fax_number": "812-447-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 CROSSPOINT BLVD STE 250",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563387",
            "telephone_number": "317-203-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUENEBRINK",
        "first_name": "ALYZA",
        "middle_name": "B",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "IN",
            "license": "358167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.