HEATHER L LUCKENBILL CRNP NPI 1750650198

NPI Information

NPI: 1750650198
Provider Name: HEATHER L LUCKENBILL, CRNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1701 INNOVATION DR
YORK, PA
ZIP 17408
Phone: (717) 850-4040
Get Directions

Heather L Luckenbill, CRNP is a pediatrics nurse practitioner in York, PA. Heather L Luckenbill, CRNP NPI is 1750650198. 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:

1701 INNOVATION DR
YORK, PA
ZIP 17408-815
Phone: (717) 850-4040
Fax: (717) 850-4144

The NPI 1750650198 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 12/14/2011 and was last updated on 7/23/2021.

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		RN556384	PENNSYLVANIA	No
2	363L00000X	Nurse Practitioner		018033	PENNSYLVANIA	No
3	363L00000X	Nurse Practitioner		SP012880	PENNSYLVANIA	No
4	363LP0200X	Nurse Practitioner	Pediatrics	SP012880	PENNSYLVANIA	Yes
5	363LP0200X	Nurse Practitioner	Pediatrics	NJ00356100	NEW JERSEY	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NJ00356100	OTHER	NEW JERSEY	MEDICAL LICENSE

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: 11/14/2023

NPI Synchronization or Removal

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