Individual provider Active NPI

Amelia M Luckie, RN

  • Case Management Registered Nurse
  • Hammond, IN
National Provider Identifier
1952823296
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
041345850 Issued in IL
Practice address
7405 California Ave
Hammond, IN 46323
Phone
(630) 670-3336
NPI assigned
Jul 7, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 4203434 IL
Case Management Registered Nurse 163WC0400X 041345850 IL Primary

Addresses

Primary practice location

7405 California Ave
Hammond, IN 46323

Mailing address

430 E 162ND St # 106
South Holland, IL 60473-2258
Phone (630) 670-3336

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041345850ILMDCase Management Registered Nurse
4203434ILMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Rophe Care Management Consultant Services, LLC CurrentSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952823296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E 162ND ST # 106",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732258",
            "telephone_number": "630-670-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 CALIFORNIA AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "46323",
            "telephone_number": "630-670-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKIE",
        "first_name": "AMELIA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-07-21",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "IL",
            "license": "4203434",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "IL",
            "license": "041345850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.