Kaidense W Lutz, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

A053021 Issued in SD

Practice address

503 E Poplar Dr Apt 109
Canton, SD 57013-1036

Phone

(605) 839-6529

NPI assigned

Feb 10, 2025

Last updated

Feb 10, 2025By the provider in NPPES

Sex

Female

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": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1447065313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 E POPLAR DR APT 109",
            "city": "CANTON",
            "state": "SD",
            "postal_code": "570131036",
            "telephone_number": "605-839-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 E POPLAR DR APT 109",
            "city": "CANTON",
            "state": "SD",
            "postal_code": "570131036",
            "telephone_number": "605-839-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "KAIDENSE",
        "middle_name": "W",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "SD",
            "license": "A053021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk Brooks Henderson, D.C.
• Blake Hult, DDS
• Michelle L Johnson, DO
• Karen Marie Knudsen, FNP - C
• Chad S Lewison, DDS
• Anna Amelia Manley, LAC
• Matthew Manley, MA. LAC. LPC-MH.
• Jane C Mutschelknaus, A.R.N.P.
• Amy M Olderbak, OT
• Robert Ronald Perkinson, PH.D.

• Nurse's Aide in Canton, SD
• Providers in Canton, SD by specialty
• Nurse's Aide in South Dakota

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

Verify at the official NPI Registry.