Active NPI
Jessie Erin Lutz, CD(DONA)
- Doula
- Kailua, HI
National Provider Identifier
1356001812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 650 Ulumalu St
Kailua, HI 96734-4325 - Phone
- (541) 602-9330
- NPI assigned
- Dec 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
650 Ulumalu St
Kailua, HI 96734-4325
Mailing address
650 Ulumalu St
Kailua, HI 96734-4325
Phone (541) 602-9330
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": "1640476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640476800000",
"number": "1356001812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 ULUMALU ST",
"city": "KAILUA",
"state": "HI",
"postal_code": "967344325",
"telephone_number": "541-602-9330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 ULUMALU ST",
"city": "KAILUA",
"state": "HI",
"postal_code": "967344325",
"telephone_number": "541-602-9330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "JESSIE",
"middle_name": "ERIN",
"name_prefix": "Mrs.",
"credential": "CD(DONA)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-26",
"last_updated": "2021-12-26",
"certification_date": "2021-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.