Active NPI
Jennifer Lutes
- Student in an Organized Health Care Education/Training Program
- Minneapolis, MN
National Provider Identifier
1467751339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 308 Harvard St SE
7-172 Weaver-Densford Hall
Minneapolis, MN 55455-0343 - Phone
- (612) 626-5158
- NPI assigned
- Mar 17, 2011
- Last updated
- Mar 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
308 Harvard St SE
7-172 Weaver-Densford Hall
Minneapolis, MN 55455-0343
Mailing address
2334 Maida CT E
Maplewood, MN 55119-5980
Phone (612) 597-9025
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": "1300320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300320000000",
"number": "1467751339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2334 MAIDA CT E",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551195980",
"telephone_number": "612-597-9025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 HARVARD ST SE",
"address_2": "7-172 WEAVER-DENSFORD HALL",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550343",
"telephone_number": "612-626-5158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTES",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-17",
"last_updated": "2011-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.