Tabitha Dobrei Luca, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704306783 Issued in MI

Practice address

12150 30 Mile Rd
Washington TWP, MI 48095-2035

Phone

(586) 753-7256

Fax

(586) 331-2323

NPI assigned

Feb 17, 2020

Last updated

Feb 17, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orchardview Physicians, PLLCGroup PAC ID 5991881138, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Orchardview Physicians, PLLC

  • Occupational Medicine Physician
  • Shelby Township, MI
  • NPI 1245311398
  Medicare reassignment Care Compare group NPD
• Michigan Post-Acute Medical Services 1 PC

  • Hospitalist Physician
  • Brighton, MI
  • NPI 1669901567
  Medicare reassignment
• CS Pacs 3 Midwest LLC

  • Hospitalist Physician
  • Dayton, OH
  • NPI 1972368785

  MI

  Medicare reassignment
• Orchardview Physicians

  dba Village Health Urgent & Family Care

  • Urgent Care Clinic/Center
  • Washington Township, MI
  • NPI 1649435256
  NPD (past)

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1942833041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 DE ETTA DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851638",
            "telephone_number": "248-819-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 30 MILE RD",
            "city": "WASHINGTON TWP",
            "state": "MI",
            "postal_code": "480952035",
            "telephone_number": "586-753-7256",
            "fax_number": "586-331-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCA",
        "first_name": "TABITHA",
        "middle_name": "DOBREI",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704306783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerstyn Gutenschwager, LLMSW
• Clara Hughes
• Jacob P. Witer D.M.D., P.C.
• Kristen Kolp-Cueny, APRN, AGPCNP-C
• Samantha E Kosnik, RN
• Meijer Inc (Meijer Pharmacy #177)
• Michigan Orthopedic & Spinal Surgery PLLC
• Sarah Newman, NP
• Optometry, P.C. (Family Eye Care Associates)
• Orchard View Pharmacy LLC

• Family Nurse Practitioner in Washington TWP, MI
• Providers in Washington TWP, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.