MR. LUKE CODY ROY FNP-BC NPI 1235696964

NPI Information

NPI: 1235696964
Provider Name: MR. LUKE CODY ROY, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
5555 GROSSMONT CENTER DR
LA MESA, CA
ZIP 91942
Phone: (619) 740-3058
Get Directions

MR. Luke Cody Roy, FNP-BC is a family nurse practitioner in La Mesa, CA. MR. Luke Cody Roy, FNP-BC NPI is 1235696964. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5555 GROSSMONT CENTER DR
LA MESA, CA
ZIP 91942-019
Phone: (619) 740-3058
Fax: (619) 740-3967

The NPI 1235696964 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/28/2019 and was last updated on 3/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		786655	CALIFORNIA	No
2	163WE0003X	Registered Nurse	Emergency	B01084732	CALIFORNIA	No
3	363LF0000X	Nurse Practitioner	Family	NP95011115	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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