Active NPI
Heart & Soul Housecall Providers, LLC
- Nurse Practitioner
- Battle Ground, WA
National Provider Identifier
1508104811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP60079873
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 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 DirectoryNPI 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.