Katelyn Lutz

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024178741 Issued in VA

Practice address

1901 Tate Springs Rd
Lynchburg, VA 24501-1109

Phone

(434) 200-3000

NPI assigned

Dec 14, 2020

Last updated

Jan 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Womens Health Services of Central Virginia IncGroup PAC ID 6901907120, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kaitlyn.lutz.1@30160.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Women's Health Services of Central Virginia, Inc.

  • Obstetrics & Gynecology Physician
  • Lynchburg, VA
  • NPI 1053417196
  Medicare reassignment Care Compare group NPD
• Centra Medical Group, LLC

  • Family Medicine Physician
  • Lynchburg, VA
  • NPI 1649228966
  Medicare reassignment NPD
• Centra Medical Group, LLC

  dba Centra Emergency Professional Services

  • Emergency Medicine Physician
  • Lynchburg, VA
  • NPI 1730429002
  NPD
• Town Center Urgent Care LLC

  • Clinic/Center
  • Grundy, VA
  • NPI 1386163822
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1205422268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHEYENNE DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025450",
            "telephone_number": "410-533-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 TATE SPRINGS RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011109",
            "telephone_number": "434-200-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024178741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra E Luse
• Debra Lustig
• Susan Ann Lustig, LPTA
• Lutheran Family Services of Virginia, Inc.
• Dawn Marie Lutz
• Nathan Khang Luu
• Luxottica Retail North America Inc (Sears Optical #C0009)
• Kaitlyn Lyford
• Lynchburg Anesthesia Associates Inc
• Lynchburg Area Center for Independent Living

• Nurse Practitioner in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.