Active NPI
Edel Luckey, NP
- Nurse Practitioner
- Dallas, TX
National Provider Identifier
1770059263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP136762
- Practice address
- 7777 Forest LN
Dallas, TX 75230-2571 - Phone
- (469) 733-5701
- NPI assigned
- Oct 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP136762 | TX | Primary |
Addresses
Primary practice location
7777 Forest LN
Dallas, TX 75230-2571
Mailing address
2512 Hidden Springs Dr
Mesquite, TX 75181-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP136762 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Texas, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Cogent Healthcare of Texas, PA | Nurse Practitioner | Current | Accepting new patients |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients |
Locations
8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Interoperability endpoints
- ms_eluckey@landmarkhealth-direct.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
Nurse Practitioner
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
Nurse Practitioner
-
- Family Medicine Physician
- Irving, TX
- NPI 1679510499
-
- Clinical Social Worker
- San Antonio, TX
- NPI 1578175865
-
- Family Medicine Physician
- Irving, TX
- NPI 1942829155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1770059263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2512 HIDDEN SPRINGS DR",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751814000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 FOREST LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302571",
"telephone_number": "469-733-5701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCKEY",
"first_name": "EDEL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-23",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP136762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.