Luminate Medical Mso LLC

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

Legal business name

LUMINATE MEDICAL MSO LLC

Practice address

169 Madison Ave Ste 11225
New York, NY 10016-5101

Phone

(855) 600-0479

Fax

(888) 522-6358

NPI assigned

Feb 6, 2026

Organization subpart

No

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

Authorized official

Name

Mrs. Tanya L Golovanoff, GOLOVANOFFNPI 1174190920

Title

VP Pharmacy & Care Delivery

Phone

(720) 412-2583

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanya Golovanoff, PHARMD, BCSCP

  • Pharmacist
  • Fort Collins, CO
  • NPI 1174190920
  NPD Authorized official

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

{
    "created_epoch": "1770336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1962353797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 11225",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "855-600-0479",
            "fax_number": "888-522-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 11225",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "855-600-0479",
            "fax_number": "888-522-6358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1299 Farnam St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681021857",
            "country_code": "US",
            "telephone_number": "855-600-0479",
            "fax_number": "888-522-6358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUMINATE MEDICAL MSO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "GOLOVANOFF",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP PHARMACY & CARE DELIVERY",
        "authorized_official_telephone_number": "720-412-2583",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "GOLOVANOFF"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Nathaniel Lumelsky, MD
• Lumia Dental, PLLC
• Richard Lumiere, M.D.
• Lumina Care Medical NJ LLC
• Lumina Smile Dental PC
• Melissa Lumish, MD
• Andrea Lumm, FNP
• Assata Ayana Lumumba, M.S., OTR/L
• Manshan Sandra Lun
• Yvonne P Lun, LCSWR ACSW DCSW

• Home Infusion Agency in New York, NY
• Providers in New York, NY by specialty
• Home Infusion Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.