SHANTEL ANNETTE LUCIANO PMHNP NPI 1376252817

NPI Information

  • NPI: 1376252817
  • Provider Name: SHANTEL ANNETTE LUCIANO, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1760 TERMINO AVE STE G21
    LONG BEACH, CA
    ZIP 90804
  • Phone: (714) 545-5550

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NPI Details

Shantel Annette Luciano, PMHNP is a psychiatric/mental health nurse practitioner in Long Beach, CA with 3 years of experience. Shantel Annette Luciano, PMHNP NPI is 1376252817. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1760 TERMINO AVE STE G21
LONG BEACH, CA
ZIP 90804-182
Phone: (714) 545-5550

The NPI 1376252817 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 11/22/2022 and was last updated on 4/24/2025.

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
1163W00000XRegistered Nurse720050CALIFORNIANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health95023601CALIFORNIAYes

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: 3/30/2025

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