Individual provider Active NPI

Valerie Lynn Luck, RN, MSN, FNP-BC

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1972888253
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4140 Issued in AZ
Practice address
10200 N 92ND St
Medical Plaza Building 4, Suite 140
Scottsdale, AZ 85258-4534
Phone
(480) 390-1716
NPI assigned
Oct 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP4140 AZ Primary

Addresses

Primary practice location

10200 N 92ND St
Medical Plaza Building 4, Suite 140
Scottsdale, AZ 85258-4534

Mailing address

2116 E la Donna Dr
Tempe, AZ 85283-2447
Phone (480) 390-1716

Other identifiers 1

IdentifierTypeStateIssuer
AP4140OtherAZSTATE OF ARIZONA BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20170822002882 AZ Order and Referring Only - Nurse Practitioner 9638331325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1972888253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 E LA DONNA DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832447",
            "telephone_number": "480-390-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 N 92ND ST",
            "address_2": "MEDICAL PLAZA BUILDING 4, SUITE 140",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584534",
            "telephone_number": "480-390-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCK",
        "first_name": "VALERIE",
        "middle_name": "LYNN",
        "credential": "RN, MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ARIZONA BOARD OF NURSING",
            "identifier": "AP4140",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.