Breanna Luckey

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

Practice address

370 Casa Norte Dr Unit 2007
North Las Vegas, NV 89031-3328

Phone

(702) 670-9196

NPI assigned

Aug 5, 2020

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1770193674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 CASA NORTE DR # 2007",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890313320",
            "telephone_number": "702-670-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 CASA NORTE DR UNIT 2007",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890313328",
            "telephone_number": "702-670-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKEY",
        "first_name": "BREANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Synell Lucas
• Rebecca 2 Lucente
• Martha Katia Lucero
• Sherrie Louise Lucero, PMHNP - APRN
• Rachael Natalee Luckett, AUD
• Arcelia Luis Marciasl
• Michelle Arlet Lujan Chavez
• Cynthia Lujano
• Reva Lukes
• Eilyn Limoran Luna, NP

• Adult Development & Aging Psychologist in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Adult Development & Aging Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.