Carol M Lutz, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11672 Issued in TX

Practice address

4804 Wesley St
Greenville, TX 75401-5650

Phone

(903) 454-0300

NPI assigned

Dec 5, 2006

Last updated

Jul 9, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Heart of Texas Region MHMR Center

  dba Heart of Texas Behavioral Health Network

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waco, TX
  • NPI 1639399132
  NPD
• Lakes Regional Mental Health Mental Retardation Center

  dba Lakes Regional Community Center

  • Developmental Disabilities Clinic/Center
  • Terrell, TX
  • NPI 1649486432
  NPD (past)
• Lakes Regional MHMR Center

  • Early Intervention Provider Agency
  • Greenville, TX
  • NPI 1679741896
  NPD (past)
• My Health My Resources of Tarrant County

  dba MHMR of Tarrant County

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fort Worth, TX
  • NPI 1376590422
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1245398049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AIRPORT RD",
            "address_2": "P O BOX 747",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751604302",
            "telephone_number": "972-524-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 WESLEY ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015650",
            "telephone_number": "903-454-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "CAROL",
        "middle_name": "M",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "11672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "8T5237",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Live Well Pharmacy LLC (Joe Pharmacy)
• Lone Star Premier Imaging, PLLC
• Austin Cole Love
• John Cullen Lovelace, O.D
• Krystal Dawn Lowry, FNP
• Kirk Paul Maclean Sr., CI
• Dawn M Madkins, RN, MSN, A-GNP-C
• Leah Madsen, MD
• Jordan Kelsi Mahan, FNP-C
• Patricia Mahler-Key, PT

• Speech-Language Pathologist in Greenville, TX
• Providers in Greenville, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.