Active NPI
Tammy Lutz
- Physician Assistant
- Tacoma, WA
National Provider Identifier
1467591644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- Madigan Army Medical Ctr
9040 Reid Street
Tacoma, WA 98431-1100 - Phone
- (253) 968-0198
- NPI assigned
- Feb 5, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
Madigan Army Medical Ctr
9040 Reid Street
Tacoma, WA 98431-1100
Mailing address
101 Saint Jude Dr
Lackawanna, NY 14218-1709
Phone (716) 826-7451
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": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467591644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SAINT JUDE DR",
"city": "LACKAWANNA",
"state": "NY",
"postal_code": "142181709",
"telephone_number": "716-826-7451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CTR",
"address_2": "9040 REID STREET",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311100",
"telephone_number": "253-968-0198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "TAMMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
- Maria Laura Lutes, ARNP
- Jonathan Scott Lutgens Jr.
- Gabriella M Luther, BA
- Heather A Luther
- Marge R Luthman, OT
- Quan Q Luu, PHARM D
- Luxottica of America Inc (Lenscrafters at Macy's #8933)
- Luxottica of America Inc. (Pearle Vision #C6259)
- Luxottica of America Inc. (LensCrafters #184)
- David D. Luxton, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.