Organization Active NPI

Heart & Soul Housecall Providers, LLC

  • Nurse Practitioner
  • Battle Ground, WA
National Provider Identifier
1508104811
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60079873 Issued in WA
Legal business name
HEART & SOUL HOUSECALL PROVIDERS, LLC
Practice address
17809 NE 110TH Ave
Battle Ground, WA 98604-6120
Phone
(306) 518-9936
NPI assigned
Jan 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2013

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

Authorized official

Name
Suzanne G Lutts, NP
Title
Owner/Provider
Phone
(306) 518-9936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X AP60079873 WA Primary

Addresses

Primary practice location

17809 NE 110TH Ave
Battle Ground, WA 98604-6120

Mailing address

17809 NE 110TH Ave
Battle Ground, WA 98604-6120
Phone (306) 518-9936

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358726400000",
    "number": "1508104811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17809 NE 110TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986046120",
            "telephone_number": "306-518-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17809 NE 110TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986046120",
            "telephone_number": "306-518-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART & SOUL HOUSECALL PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-21",
        "status": "A",
        "authorized_official_last_name": "LUTTS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "306-518-9936",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60079873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; 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.