Active NPI
Lisa S Jutte, PHD, ATC
- Athletic Trainer
- Muncie, IN
National Provider Identifier
1114994191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36001234A
- Practice address
- 1740 Neely
Ball State University; Speses, HP 222H
Muncie, IN 47306 - Phone
- (765) 285-2637
- NPI assigned
- Mar 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 36001234A | IN | Primary |
Addresses
Primary practice location
1740 Neely
Ball State University; Speses, HP 222H
Muncie, IN 47306
Mailing address
9102 W Jackson St
Muncie, IN 47304-9740
Phone (765) 215-0385
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36001234A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114994191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9102 W JACKSON ST",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473049740",
"telephone_number": "765-215-0385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 NEELY",
"address_2": "BALL STATE UNIVERSITY; SPESES, HP 222H",
"city": "MUNCIE",
"state": "IN",
"postal_code": "47306",
"telephone_number": "765-285-2637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUTTE",
"first_name": "LISA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PHD, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36001234A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.