Individual provider Active NPI

Caroline Tautz Hutto, CNM

  • Nurse Practitioner
  • Fairbanks, AK
National Provider Identifier
1346754207
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
128999 Issued in AK
Practice address
3550 Airport Way Ste 5
Fairbanks, AK 99709-4772
Phone
(907) 290-8430
Fax
(907) 290-4337
NPI assigned
Nov 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X
Nurse Practitioner 363L00000X 128999 AK Primary

Addresses

Primary practice location

3550 Airport Way Ste 5
Fairbanks, AK 99709-4772

Mailing address

3550 Airport Way Ste 4
Fairbanks, AK 99709-4772

Other names 1

  • Caroline Luise Tautz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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

Enrollment IDStateProvider typePAC IDDetails
I20210414001976 AK Practitioner - Nurse Practitioner 1557778792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

424 Henderson Rd S
Unit B
Fairbanks, AK 99709-2415
Phone (907) 290-8430

Hospital & facility affiliations

  • Fairbanks Memorial Hospital Hospital, Fairbanks, AK, CCN 020012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
128999AKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Heart Health & Wellness Advanced Practice Midwife CurrentSince Jun 12, 2022 Accepting new patients

Locations

3550 Airport Way
Ste 4
Fairbanks, AK 99709
Phone (907) 479-2331

3550 Airport Way
Ste 5
Fairbanks, AK 99709
Phone (907) 290-8430

Interoperability endpoints

  • Direct secure messaging: caroline.hutto@266229197307908.direct.elationemr.com
  • Direct secure messaging: caroline.hutto@499046143426564.direct.elationemr.com

Organizations & group practices 1

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1346754207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 AIRPORT WAY STE 4",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 AIRPORT WAY STE 5",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094772",
            "telephone_number": "907-290-8430",
            "fax_number": "907-290-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTO",
        "first_name": "CAROLINE",
        "middle_name": "TAUTZ",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "128999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "TAUTZ",
            "middle_name": "LUISE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.