Laura Beth Pluckebaum

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71014209A Issued in IN

Practice address

13090 Petigru Dr
Carmel, IN 46032-4436

Phone

(317) 733-8608

NPI assigned

Jan 17, 2023

Last updated

Aug 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1922713650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13090 PETIGRU DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324436",
            "telephone_number": "317-733-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13090 PETIGRU DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324436",
            "telephone_number": "317-733-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUCKEBAUM",
        "first_name": "LAURA",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71014209A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28229989A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Marie Pitts
• Josue Adan Pizana, ATC, PTA
• Melanie Plantenga, PHARMD
• Samantha Renee Plitt, PA-C
• Natalia Plott, MD
• Claude Hamilton Plumlee III
• Holly Plybon
• PMGG, LLC (Home Helpers Home Care)
• Christine Nicole Poe, ARNP
• Dana Poirier, MA, LMHC

• Family Nurse Practitioner in Carmel, IN
• Providers in Carmel, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.