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ANDREA LEE LUCKETT CRNA NPI 1619951514


NPI Information

NPI: 1619951514
Provider Name: ANDREA LEE LUCKETT, CRNA
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Individual
Address:
3920 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40207
Phone: (502) 259-6710
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Andrea Lee Luckett, CRNA is a nurse anesthetist certified registered in Louisville, KY with 19 years of experience. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Andrea Lee Luckett, CRNA NPI is 1619951514. 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:

3920 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40207-702
Phone: (502) 259-6710
Fax: (502) 259-6704

The enumeration date for this NPI number is 12/5/2005 and was last updated on 3/1/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367500000XNurse Anesthetist, Certified Registered1077892KENTUCKYNo
2367500000XNurse Anesthetist, Certified Registered3004813KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
150014417OTHERKENTUCKYPASSPORT
2201363600MEDICAIDINDIANA
3000000477092OTHERKENTUCKYBLUE SHIELD
40958722OTHERRAILROAD MEDICARE
52783422000OTHERKENTUCKYPASSPORT ADVANTAGE
67100110260MEDICAIDKENTUCKY

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.