Active NPI
Valerie Lynn Luck, RN, MSN, FNP-BC
- Family Nurse Practitioner
- Scottsdale, AZ
National Provider Identifier
1972888253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP4140
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP4140 | Other | AZ | STATE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.