Active NPI
Angelica Selena Luciano, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Olympia, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NP95007622
- Practice address
- 400 Union Ave SE Ste 200
Olympia, WA 98501-2060 - Phone
- (833) 351-3255
- Fax
- (888) 815-3583
- NPI assigned
- Apr 24, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP95007622 | CA | Primary |
| Registered Nurse | 163W00000X | RN60378485 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95007622 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60791085 | WA |
Addresses
Primary practice location
400 Union Ave SE Ste 200
Olympia, WA 98501-2060
Mailing address
3223 S Loop 289 Ste 600
Lubbock, TX 79423-1372
Phone (833) 351-8255
Other practice location 1
9805 Double R Blvd Ste 300
Reno, NV 89521-4827
Phone (833) 351-8255
Other practice location 2
109 W 27th St Rm 5S
New York, NY 10001-6208
Phone (833) 351-3255
Other practice location 3
2855 Telegraph Ave Ste 515
Berkeley, CA 94705-1151
Phone (888) 588-8995
Other practice location 4
3223 S Loop 289 Ste 600
Lubbock, TX 79423-1372
Phone (833) 351-8255
Other practice location 5
100 Pine Street Suite 1250
San Francisco, CA 94111
Phone (833) 351-8255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
New York, NY 10087
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60378485 | WA | MD | Registered Nurse |
| NP95007622 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP60791085 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1841687183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3223 S LOOP 289 STE 600",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794231372",
"telephone_number": "833-351-8255",
"fax_number": "888-815-3583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 UNION AVE SE STE 200",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985012060",
"telephone_number": "833-351-3255",
"fax_number": "888-815-3583"
}
],
"practiceLocations": [
{
"address_1": "9805 Double R Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895214827",
"country_code": "US",
"telephone_number": "833-351-8255",
"fax_number": "888-815-3583",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "109 W 27th St Rm 5S",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100016208",
"country_code": "US",
"telephone_number": "833-351-3255",
"fax_number": "888-815-3583",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2855 Telegraph Ave Ste 515",
"address_purpose": "LOCATION",
"city": "Berkeley",
"state": "CA",
"postal_code": "947051151",
"country_code": "US",
"telephone_number": "888-588-8995",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3223 S Loop 289 Ste 600",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794231372",
"country_code": "US",
"telephone_number": "833-351-8255",
"fax_number": "888-815-3583",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Pine Street Suite 1250",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "94111",
"country_code": "US",
"telephone_number": "833-351-8255",
"fax_number": "888-815-3583",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCIANO",
"first_name": "ANGELICA",
"middle_name": "SELENA",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-24",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "NP95007622",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60378485",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95007622",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP60791085",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.