Individual
HEATHER LUCKENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2803
(615) 936-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-5048
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
32319
TN
363LF0000X
Family Nurse Practitioner
C-APN.0000999-C-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
640086YQ3L
MEDICARE PTAN
CO
01
—
640086YQPG
MEDICARE PTAN
CO
05
—
9000159355
—
CO
05
—
Q079762
—
TN
Enumeration date
03/05/2018
Last updated
07/25/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us