Individual provider Active NPI

Alayna Kutach, FNP-C

  • Family Nurse Practitioner
  • Victoria, TX
National Provider Identifier
1508603366
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1168523 Issued in TX
Practice address
605 E San Antonio St Ste 510E
Victoria, TX 77901-6011
Phone
(361) 576-9342
Fax
(361) 576-9353
NPI assigned
Jul 10, 2024
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1168523 TX Primary

Addresses

Primary practice location

605 E San Antonio St Ste 510E
Victoria, TX 77901-6011

Mailing address

605 E San Antonio St Ste 510E
Victoria, TX 77901-6011
Phone (361) 788-6003

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alayna.kutach.1@1902.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241106001148 TX Practitioner - Nurse Practitioner 1850825332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

506 E San Antonio St
Victoria, TX 77901-6060
Phone (361) 575-7441

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc CurrentSince Aug 26, 2024 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Aug 26, 2024 Accepting new patients
Regional Employee Assistance Program Inc Current Accepting new patients

Locations

1602 E Houston St
Ste C
Beeville, TX 78102
Phone (361) 354-2900

2804 Lake Rd
Ste 5
Huntsville, TX 77340
Phone (979) 696-2422

101 James Coleman Dr
Victoria, TX 77904
Phone (346) 541-6421

102 Medical Dr
Victoria, TX 77904
Phone (361) 576-6200

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

605 E San Antonio St
#105E
Victoria, TX 77901

605 E San Antonio St
Ste 510E
Victoria, TX 77901
Phone (361) 576-9342

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1508603366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E SAN ANTONIO ST STE 510E",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016011",
            "telephone_number": "361-788-6003",
            "fax_number": "361-788-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E SAN ANTONIO ST STE 510E",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016011",
            "telephone_number": "361-576-9342",
            "fax_number": "361-576-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTACH",
        "first_name": "ALAYNA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1168523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alayna.kutach.1@1902.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "605 E San Antonio St Ste 510E",
            "city": "Victoria",
            "state": "TX",
            "country_code": "US",
            "postal_code": "779016011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.