Active NPI
Donna E Lutz, CRNP
- Obstetrics & Gynecology Nurse Practitioner
- Reading, PA
National Provider Identifier
1114152873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- TP006878G
- Practice address
- 48 S. Fourth Street
Reading, PA 19602 - Phone
- (610) 376-8061
- Fax
- (610) 379-8099
- NPI assigned
- May 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN187433L | PA | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | TP006878G | PA | Primary |
Addresses
Primary practice location
48 S. Fourth Street
Reading, PA 19602
Mailing address
PO Box 813
Trexlertown, PA 18087-0813
Phone (610) 481-0481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN187433L | PA | MD | Registered Nurse |
| TP006878G | PA | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood Keystone | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Reading, PA
- NPI 1568639029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326844800000",
"number": "1114152873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 813",
"city": "TREXLERTOWN",
"state": "PA",
"postal_code": "180870813",
"telephone_number": "610-481-0481",
"fax_number": "610-481-0486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 S. FOURTH STREET",
"city": "READING",
"state": "PA",
"postal_code": "19602",
"telephone_number": "610-376-8061",
"fax_number": "610-379-8099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "DONNA",
"middle_name": "E",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-26",
"last_updated": "2012-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN187433L",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "PA",
"license": "TP006878G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.