Active NPI
Luchele Penka, RN, CMCN
- Case Management Registered Nurse
- Worcester, MA
National Provider Identifier
1871137901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- RN264756
- Practice address
- 19 Tacoma St
Worcester, MA 01605-3516 - Phone
- (508) 854-2122
- NPI assigned
- Oct 31, 2019
- 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 |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | RN264756 | MA | Primary |
Addresses
Primary practice location
19 Tacoma St
Worcester, MA 01605-3516
Mailing address
155 Hill St
Leominster, MA 01453-3970
Phone (978) 466-3401
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN264756 | MA | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1871137901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 HILL ST",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014533970",
"telephone_number": "978-466-3401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 TACOMA ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016053516",
"telephone_number": "508-854-2122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENKA",
"first_name": "LUCHELE",
"credential": "RN, CMCN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-31",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "MA",
"license": "RN264756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.