Luna Wellness, PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

LUNA WELLNESS, PLLC

Practice address

5100 S Thompson St Ste 213
Springdale, AR 72764-6941

Phone

(479) 275-3520

Fax

(479) 335-3405

NPI assigned

Feb 14, 2023

Last updated

Nov 8, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Taylor Beauregard Kelamis, APRN, FNP-CNPI 1801385976

Title

Owner, Aprn

Phone

(479) 275-3520

Specialties & licenses 1

Addresses

Other names 1

• Luna Wellness Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Taylor Beauregard Kelamis, APRN, FNP-C

  • Family Nurse Practitioner
  • Lowell, AR
  • NPI 1801385976
  NPD (past) Authorized official

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1902503451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 S THOMPSON ST STE 213",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727646941",
            "telephone_number": "479-275-3520",
            "fax_number": "479-335-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 S THOMPSON ST STE 213",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727646941",
            "telephone_number": "479-275-3520",
            "fax_number": "479-335-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "KELAMIS",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "BEAUREGARD",
        "authorized_official_title_or_position": "OWNER, APRN",
        "authorized_official_telephone_number": "479-275-3520",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luna Wellness",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Luna Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tania Gonzalez Lugo, MSW
• Jessica Lynn Luhn
• Charles Lule, CNIM
• Whitney Rene Lumpkin
• Jose Luna Armenta, ED.S. NCSP
• Elise Lunsford, LPC
• Kyra Paige Luper
• Luvi Enterprises, LLC
• Tia Ly, BCBA
• Diane H Lyddon, RN, APN

• Health Service Clinic/Center in Springdale, AR
• Providers in Springdale, AR by specialty
• Health Service Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.