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LUMINOSITY MEDICAL ALLAINCE, PLLC
NPI 1134893191
Nurse Practitioner in Port Orchard, WA

Active since August 03, 2021
426 SW HAYWORTH DR UNIT C203, PORT ORCHARD, WA 98367(360) 362-0146 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Luminosity Medical Allaince, Pllc NPPES

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

LUMINOSITY MEDICAL ALLAINCE, PLLC (NPI 1134893191) is a healthcare organization registered as a nurse practitioner in Port Orchard, Washington and active in the NPI registry since August 2021. The organization lists Amanda Sue Macklin, Founder, as its authorized official.

NPPES Registry Identity

NPI1134893191
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameLUMINOSITY MEDICAL ALLAINCE, PLLC
Location Address426 SW HAYWORTH DR UNIT C203Port Orchard, WA 98367-5015
Mailing Address426 Sw Hayworth Dr Unit C203Port Orchard, WA 98367-5015 · (419) 860-3644
Phone(360) 362-0146
Organization SubpartNo
Authorized OfficialAmanda Sue MacklinFounder · (360) 362-0146
Enumeration DateAugust 3, 2021
Last NPPES UpdateAugust 4, 2021
NPPES CertifiedAugust 4, 2021
✔ NPI 1134893191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
426 SW HAYWORTH DR UNIT C203, Port Orchard, WA 98367
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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 Luminosity Medical Allaince, PLLC's NPI number?

The NPI number for Luminosity Medical Allaince, PLLC is 1134893191. It was assigned to this organization in the NPPES registry on August 3, 2021.

Where is Luminosity Medical Allaince, PLLC located?

Luminosity Medical Allaince, PLLC is located at 426 SW Hayworth Dr Unit C203, Port Orchard, WA 98367. The listed phone number is (360) 362-0146.

What is Luminosity Medical Allaince, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Luminosity Medical Allaince, PLLC was last updated on August 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.