Kimberly Wolf Luisana, RN FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5007365 Issued in NC

Practice address

525 N Tryon St Ste 1600
Charlotte, NC 28202-0213

Phone

(866) 949-0108

NPI assigned

Nov 21, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: kimberly.luisana.1@30520.direct.athenahealth.com

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1780081695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SMAIN",
            "address_2": "STE 1300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381035513",
            "telephone_number": "866-949-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N TRYON ST STE 1600",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282020213",
            "telephone_number": "866-949-0108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Pratt St",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277053976",
            "country_code": "US",
            "telephone_number": "919-668-1002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUISANA",
        "first_name": "KIMBERLY",
        "middle_name": "WOLF",
        "credential": "RN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-21",
        "last_updated": "2021-09-07",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "236922",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5007365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Luescher, PH.D.
• Kaitlin Luffman, PT, DPT
• Marjorie Lugibihl, RN
• Corinne Danielle Lugo-Chalmers
• Luis a. Chamorro, DMD, MPH, PA
• Amy Elizabeth Lukacs, M.A.
• Nicholas Daniel Lukacs, D.O.
• Luke a Bennett LLC
• Christina Jean Luke, LPCA
• Dorothy Christin Luke, MSW, LCSW

• Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.