Active NPI
Ellen Lumagui, MSN, APRN, FNP-BC
- Family Nurse Practitioner
- San Diego, CA
National Provider Identifier
1841647054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN002160
- Practice address
- 5717 Pacific Center Blvd Ste 200
San Diego, CA 92121-4250 - Phone
- (858) 859-1188
- NPI assigned
- May 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | APRN002160 | NV | Primary |
Addresses
Primary practice location
5717 Pacific Center Blvd Ste 200
San Diego, CA 92121-4250
Mailing address
5717 Pacific Center Blvd Ste 200
San Diego, CA 92121-4250
Phone (858) 859-1188
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
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN002160 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Nevada Las Vegas | Past | Accepting new patients | |
| University of Nevada Las Vegas | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Student Health Clinic/Center
- Dallas, TX
- NPI 1043647407
-
- Student Health Clinic/Center
- Las Vegas, NV
- NPI 1326474818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1841647054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5717 PACIFIC CENTER BLVD STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921214250",
"telephone_number": "858-859-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5717 PACIFIC CENTER BLVD STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921214250",
"telephone_number": "858-859-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUMAGUI",
"first_name": "ELLEN",
"credential": "MSN, APRN, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-17",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APRN002160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.