{"npi":"1982106084","type":"NPI-1","status":"active","name":{"display":"Heather Luckenbaugh NP-Bc","other":[],"first":"HEATHER","last":"LUCKENBAUGH","credential":"NP-BC"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":"CO","license":"C-APN.0000999-C-NP"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"TN","license":"32319"}]},"addresses":[{"purpose":"LOCATION","street_1":"3601 THE VANDERBILT CLINIC","city":"NASHVILLE","state":"TN","postal_code":"372322803","country_code":"US","phone":"6159363000"},{"purpose":"MAILING","street_1":"3841 GREEN HILLS VILLAGE DR STE 200","city":"NASHVILLE","state":"TN","postal_code":"372152691","country_code":"US","fax":"6153225048"}],"license":{"state":"TN","number":"32319"},"identifiers":[{"type_code":"01","label":"Other","value":"640086YQ3L","state":"CO","issuer":"MEDICARE PTAN"},{"type_code":"05","label":"Medicaid","value":"Q079762","state":"TN","issuer":null},{"type_code":"05","label":"Medicaid","value":"9000159355","state":"CO","issuer":null},{"type_code":"01","label":"Other","value":"640086YQPG","state":"CO","issuer":"MEDICARE PTAN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20180403000680","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"CO","pac_id":"9133481187"},{"enrlmt_id":"I20221010000478","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"TN","pac_id":"9133481187"}]},"enumeration_date":"2018-03-05","last_updated":"2025-07-25","_meta":{"source":"NPPES","snapshot_date":"2025-07-25","doc_url":"https://findmynpi.com/api"}}