Active NPI
Cameron Gregory Kirk-Lutcher, DSP
- Child Intellectual and/or Developmental Disabilities Respite Care
- Mesa, AZ
National Provider Identifier
1275428419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- Practice address
- 2020 E Inverness Ave Apt 1022
Mesa, AZ 85204-6972 - Phone
- (541) 650-2464
- NPI assigned
- Jun 10, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | AZ | ||
| Chore Provider | 372500000X | AZ | ||
| Adult Companion | 372600000X | AZ | ||
| Day Training/Habilitation Specialist | 373H00000X | AZ | ||
| Personal Care Attendant | 3747P1801X | AZ | ||
| Homemaker | 376J00000X | AZ | ||
| Respite Care | 385H00000X | AZ | ||
| Child Mental Illness Respite Care | 385HR2055X | AZ | ||
| Child Physical Disabilities Respite Care | 385HR2065X | AZ | ||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | AZ | Primary |
Addresses
Primary practice location
2020 E Inverness Ave Apt 1022
Mesa, AZ 85204-6972
Mailing address
2020 E Inverness Ave Apt 1022
Mesa, AZ 85204-6972
Phone (541) 650-2464
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1275428419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 E INVERNESS AVE APT 1022",
"city": "MESA",
"state": "AZ",
"postal_code": "852046972",
"telephone_number": "541-650-2464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 E INVERNESS AVE APT 1022",
"city": "MESA",
"state": "AZ",
"postal_code": "852046972",
"telephone_number": "541-650-2464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK-LUTCHER",
"first_name": "CAMERON",
"middle_name": "GREGORY",
"credential": "DSP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-10",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.