Active NPI
Claire Luetkemeyer
- Family Nurse Practitioner
- Eldon, MO
National Provider Identifier
1780211169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F02201044
- Practice address
- 1001 E North St
Eldon, MO 65026-2634 - Phone
- (443) 275-9800
- NPI assigned
- Mar 25, 2020
- Last updated
- Sep 29, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F02201044 | MO | Primary |
Addresses
Primary practice location
1001 E North St
Eldon, MO 65026-2634
Mailing address
213 Michelle Dr
Jefferson City, MO 65109-0135
Phone (573) 864-9996
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
| License | State | Type | Specialty |
|---|---|---|---|
| F02201044 | MO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1780211169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 MICHELLE DR",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651090135",
"telephone_number": "573-864-9996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E NORTH ST",
"city": "ELDON",
"state": "MO",
"postal_code": "650262634",
"telephone_number": "443-275-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUETKEMEYER",
"first_name": "CLAIRE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-25",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "F02201044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eldon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.