Nathan Lutz, RT(R)(MR)(CT)

Primary specialty

Computed Tomography Radiologic TechnologistTaxonomy code 2471C3401X

License

386548 Issued in SD

Practice address

806 Honeysuckle Dr
Harrisburg, SD 57032-2312

Phone

(605) 848-5889

NPI assigned

Oct 3, 2016

Last updated

Oct 3, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1336698232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 HONEYSUCKLE DRIVE",
            "city": "HARRISBURG",
            "state": "SD",
            "postal_code": "57032",
            "telephone_number": "605-848-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 HONEYSUCKLE DR",
            "city": "HARRISBURG",
            "state": "SD",
            "postal_code": "570322312",
            "telephone_number": "605-848-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "NATHAN",
        "credential": "RT(R)(MR)(CT)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "SD",
            "license": "386548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Kruesel
• Kathryn M Larson I, RN
• Heather Jean Law, CSW
• Monica Ann Leach, OTR
• Calli Piper London, APRN- CNP
• Rachel Maca
• Beth Ann Marsh, RN
• Ashley Brooks Mayland, DC
• Mallory Ranee McCollister, MA, CCC-SLP
• Darin John Naatjes

• Radiologic Technologist in Harrisburg, SD
• Providers in Harrisburg, SD by specialty
• Radiologic Technologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.