Lori Ann Cutler, FNP
Individual provider Active NPI Family Nurse Practitioner · Fortuna, CA
NPI 1336393776 · NPPES record last updated Dec 31, 2014
Key facts
- NPI
- 1336393776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 6196 (CA)
- Practice address
- 3304 Renner Dr
Fortuna, CA 95540-7102 - Phone
- (707) 725-4477
- Fax
- (707) 725-9209
- NPI assigned
- Nov 12, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040506000717 | CA | Practitioner - Nurse Practitioner | 3678561933 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6196 | CA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Door Community Health Centers | Current |
Accepting new patients | |
| Open Door Community Health Centers | Current |
Accepting new patients | |
| Open Door Community Health Centers | Current | Accepting new patients |
Locations
1275 8th St
Arcata, CA 95521
2200 Tydd St
Eureka, CA 95501
Phone (707) 269-7051
3304 Renner Dr
Fortuna, CA 95540
Phone (707) 725-4477
3306 Renner Dr
Fortuna, CA 95540
Phone (707) 725-6101
670 9th St
Ste 203
McKinleyville, CA 95521
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 395898 | CA | |
| Family Nurse Practitioner | 363LF0000X | 6196 | CA | Yes |
Addresses
Primary practice location
3304 Renner Dr
Fortuna, CA 95540-7102
Mailing address
670 9TH St
Suite 203
Arcata, CA 95521-6248
Phone (707) 826-8633
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336393776 | Other | CA | NATIONAL PROVIDER IDENTIFICATION |
Other providers in Fortuna, CA
- Johnny Keith Coleman
- Jeffrey David Coutant
- Cowell Chiropractic Inc
- Michael Henry Crosbie
- Naomi E Cruz
- Francis W Cutruzzola
- David Joseph D'Amico
- David J. D'Amico Chiropractic, Inc.
- Britain Kalob Davis
- Brent C Dawson
All providers in Fortuna, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.