Individual provider Active NPI

Nancy Carol Luckie, M.D.

  • Psychiatry Physician
  • Honolulu, HI
National Provider Identifier
1760578116
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD-5344 Issued in HI
Practice address
1188 Bishop St Ste 2702
Honolulu, HI 96813-3311
Phone
(808) 955-7372
Fax
(808) 951-9282
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 5344 HI
Psychiatry Physician 2084P0800X MD-5344 HI Primary

Addresses

Primary practice location

1188 Bishop St Ste 2702
Honolulu, HI 96813-3311

Mailing address

1330 Ala Moana Blvd Apt 2204
Honolulu, HI 96814-4230
Phone (808) 955-7372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050110000702 HI Practitioner - Psychiatry 1052369766 Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical College of Pennsylvania, 1981
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1188 Bishop St
Suite 2702
Honolulu, HI 96813-3311
Phone (808) 955-7372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5344HIMDPsychiatry Physician
MD-5344HIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Services LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1760578116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 ALA MOANA BLVD APT 2204",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144230",
            "telephone_number": "808-955-7372",
            "fax_number": "808-951-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST STE 2702",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133311",
            "telephone_number": "808-955-7372",
            "fax_number": "808-951-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKIE",
        "first_name": "NANCY",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "5344",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD-5344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.