Individual provider Active NPI

Brandi Ka Yin Lu, FNP-BC

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1902564016
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
847725 Issued in NV
Practice address
1346 S Decatur Blvd
Las Vegas, NV 89102-8510
Phone
(702) 889-8355
NPI assigned
Dec 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 847725 NV Primary

Addresses

Primary practice location

1346 S Decatur Blvd
Las Vegas, NV 89102-8510

Mailing address

1595 Red Rock St
Las Vegas, NV 89146-1229
Phone (702) 501-8189

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

State licenses

LicenseStateTypeSpecialty
847725NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Rheumatology Medical Center - Lee PLLC CurrentSince Mar 5, 2023 Accepting new patients
Henry Wang Inc PastSince Dec 12, 2021 Accepting new patients

Locations

1346 S Decatur Blvd
Las Vegas, NV 89102
Phone (702) 509-7989

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1902564016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 RED ROCK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461229",
            "telephone_number": "702-501-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028510",
            "telephone_number": "702-889-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "BRANDI",
        "middle_name": "KA YIN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "847725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.