Individual provider Active NPI

Brenda Kvamme Luedeman, DNP, MSN, ARNP

  • Adult Health Nurse Practitioner
  • Winter Haven, FL
National Provider Identifier
1962849323
Registry record updated May 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
879772 Issued in FL
Practice address
122 W Central Ave
Winter Haven, FL 33880-6313
Phone
(863) 294-0985
NPI assigned
May 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 879772 FL Primary

Addresses

Primary practice location

122 W Central Ave
Winter Haven, FL 33880-6313

Mailing address

PO Box 9438
Winter Haven, FL 33883-9438
Phone (863) 207-3330

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
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
879772FLMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1369440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369440000000",
    "number": "1962849323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9438",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338839438",
            "telephone_number": "863-207-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338806313",
            "telephone_number": "863-294-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEDEMAN",
        "first_name": "BRENDA",
        "middle_name": "KVAMME",
        "name_prefix": "Dr.",
        "credential": "DNP, MSN, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-25",
        "last_updated": "2013-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "879772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.

Verify at the official NPI Registry.