HEATHER L LUCKENBILL CRNP NPI 1750650198

NPI Information

  • NPI: 1750650198
  • Provider Name: HEATHER L LUCKENBILL, CRNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1701 INNOVATION DR
    YORK, PA
    ZIP 17408
  • Phone: (717) 850-4040

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NPI Details

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
1163W00000XRegistered NurseRN556384PENNSYLVANIANo
2363L00000XNurse Practitioner018033PENNSYLVANIANo
3363L00000XNurse PractitionerSP012880PENNSYLVANIANo
4363LP0200XNurse PractitionerPediatricsSP012880PENNSYLVANIAYes
5363LP0200XNurse PractitionerPediatricsNJ00356100NEW JERSEYNo

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
1NJ00356100OTHERNEW JERSEYMEDICAL 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: 3/30/2025

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