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LUKA ANDERSON
NPI 1083552319
Student in an Organized Health Care Education/Training Program in Bloomington, IL

Active since March 25, 2026
1709 JUMER DR STE B, BLOOMINGTON, IL 61704(872) 239-8292 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Luka Anderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUKA ANDERSON (NPI 1083552319) is an individual student in an organized health care education/training program in Bloomington, Illinois and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1083552319
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLUKA ANDERSON
Location Address1709 JUMER DR STE BBloomington, IL 61704-0914
Mailing Address227 S Orr DrNormal, IL 61761-3223 · (309) 750-0312
Phone(872) 239-8292
Sole ProprietorYes
Enumeration DateMarch 25, 2026
NPPES CertifiedMarch 25, 2026
✔ NPI 1083552319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1709 JUMER DR STE B, Bloomington, IL 61704
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Other Names 1

Former Name (1)Zoey Deca Anderson

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luka Anderson's NPI number?

The NPI number for Luka Anderson is 1083552319. It was assigned to this individual provider in the NPPES registry on March 25, 2026. The provider is also known as Zoey Deca Anderson.

Where is Luka Anderson located?

Luka Anderson practices at 1709 Jumer Dr Ste B, Bloomington, IL 61704. The listed phone number is (872) 239-8292.

What is Luka Anderson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Luka Anderson was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.