Active NPI
Diana Luque, LPN
- Licensed Practical Nurse
- Novi, MI
National Provider Identifier
1942647433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN1214491
- Practice address
- 27175 Haggerty Rd
Novi, MI 48377 - Phone
- (248) 416-1584
- Fax
- (248) 416-1525
- NPI assigned
- May 24, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN1214491 | FL | Primary |
Addresses
Primary practice location
27175 Haggerty Rd
Novi, MI 48377
Mailing address
27175 Haggerty Rd
Novi, MI 48377-3626
Phone (249) 416-1584
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
| License | State | Type | Specialty |
|---|---|---|---|
| PN1214491 | FL | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369353600000",
"number": "1942647433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27175 HAGGERTY RD",
"city": "NOVI",
"state": "MI",
"postal_code": "483773626",
"telephone_number": "249-416-1584",
"fax_number": "248-416-1525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27175 HAGGERTY RD",
"city": "NOVI",
"state": "MI",
"postal_code": "48377",
"telephone_number": "248-416-1584",
"fax_number": "248-416-1525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUQUE",
"first_name": "DIANA",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-24",
"last_updated": "2013-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "PN1214491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.