Individual provider Active NPI

Tiffani Lutz

  • Occupational Therapist
  • Franklin, TN
National Provider Identifier
1558940965
Registry record updated Apr 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6836 Issued in TN
Practice address
3326 Aspen Grove Dr Ste 312
Franklin, TN 37067-4847
Phone
(615) 651-4833
NPI assigned
Apr 4, 2021
Last updated
Apr 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6836 TN Primary

Addresses

Primary practice location

3326 Aspen Grove Dr Ste 312
Franklin, TN 37067-4847

Mailing address

3326 Aspen Grove Dr Ste 312
Franklin, TN 37067-4847
Phone (615) 651-4833

Other names 1

  • Tiffani Colvin Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6836TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Mingus Speech Pathology LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

3326 Aspen Grove Dr
Ste 312
Franklin, TN 37067
Phone (615) 651-4833

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1617494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617494400000",
    "number": "1558940965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 ASPEN GROVE DR STE 312",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370674847",
            "telephone_number": "615-651-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3326 ASPEN GROVE DR STE 312",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370674847",
            "telephone_number": "615-651-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "TIFFANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-04",
        "last_updated": "2021-04-04",
        "certification_date": "2021-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "6836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANI",
            "last_name": "COLVIN",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2021; 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.