Active NPI
Laurie A. Kutrich, CD, RD
- Registered Dietitian
- Wenatchee, WA
National Provider Identifier
1164509196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI00001860
- Practice address
- 1201 S Miller St
Wenatchee, WA 98801-3201 - Phone
- (509) 662-1511
- Fax
- (509) 665-6261
- NPI assigned
- Nov 1, 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI00001860 | WA | Primary |
Addresses
Primary practice location
1201 S Miller St
Wenatchee, WA 98801-3201
Mailing address
1201 S. Miller
Central Washington Hospital
Wenatchee, WA 98801-3201
Phone (509) 662-1511
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164509196 | Medicaid | WA | |
| P01522105 | Other | WA | RR PTAN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0764.epichosted.com/FHIRProxy/api/FHIR/R4/ | ||
| Direct Messaging Address | lkutrich12140@edirect.chehr.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI00001860 | WA | MD | Registered Dietitian |
Interoperability endpoints
- lkutrich12140@edirect.chehr.org
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Wenatchee, WA
- NPI 1801937453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1164509196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 S. MILLER",
"address_2": "CENTRAL WASHINGTON HOSPITAL",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988013201",
"telephone_number": "509-662-1511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S MILLER ST",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988013201",
"telephone_number": "509-662-1511",
"fax_number": "509-665-6261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTRICH",
"first_name": "LAURIE",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "CD, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI00001860",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164509196",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR PTAN",
"identifier": "P01522105",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0764.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"address_1": "1201 S Miller St",
"city": "Wenatchee",
"state": "WA",
"country_code": "US",
"postal_code": "988013201",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lkutrich12140@edirect.chehr.org",
"affiliation": "N",
"address_1": "1201 S Miller St",
"city": "Wenatchee",
"state": "WA",
"country_code": "US",
"postal_code": "988013201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.