Alexis Rene Luke

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1 North Stadium Drive
Broussard Center for Athletic Training
Baton Rouge, LA 70803

Phone

(225) 578-0681

Fax

(225) 578-3924

NPI assigned

Aug 24, 2022

Last updated

Aug 24, 2022By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Louisiana State University

  dba LSU Athletic Department Pharmacy

  • Community/Retail Pharmacy
  • Baton Rouge, LA
  • NPI 1225512767
  NPD (past)

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1811616733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NORTH STADIUM DRIVE",
            "address_2": "BROUSSARD CENTER FOR ATHLETIC TRAINING",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70803",
            "telephone_number": "225-578-0681",
            "fax_number": "225-578-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NORTH STADIUM DRIVE",
            "address_2": "BROUSSARD CENTER FOR ATHLETIC TRAINING",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70803",
            "telephone_number": "225-578-0681",
            "fax_number": "225-578-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKE",
        "first_name": "ALEXIS",
        "middle_name": "RENE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacie Marie Luckett
• Suzanne Luckett, M.D.
• Xamaria Luckett
• Sarah Ludwig
• Carl Sidney Luikart, M D
• Lauren Luke, PT
• Leelamma Cyriac Luke, MD
• Adrienne Lum, OD
• Gary B Lum, MD
• Lumel Mental Health Services LLC

• Student in an Organized Health Care Education/Training Program in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Student in an Organized Health Care Education/Training Program in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.