Active NPI
Carrie Lutz Olson, M.D.
- Family Medicine Physician
- Crestview Hills, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34232
- Practice address
- 2845 Chancellor Dr
Crestview Hills, KY 41017 - Phone
- (859) 301-5605
- Fax
- (859) 301-6050
- NPI assigned
- Nov 11, 2008
- Last updated
- Sep 13, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34232 | KY | Primary |
Addresses
Primary practice location
2845 Chancellor Dr
Crestview Hills, KY 41017
Mailing address
PO Box 635283
St. Elizabeth Physicians
Cincinnati, OH 45263-5283
Phone (859) 301-5650
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64014475 | Medicaid | KY | |
| 2269727 | Medicaid | OH |
Other names 1
- Dr. Carrie Ann Lutz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| Summit Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Doctors Urgent Care Offices Medical Group Inc | Past | Accepting new patients | |
| Cincinnati Health Care Group PSC | Past | Accepting new patients | |
| CG Medical Associates Inc | Family Medicine | Past | Accepting new patients |
Locations
2845 Chancellor Dr
Crestview Hills, KY 41017
Phone (859) 341-3412
340 Thomas More Pkwy
#160
Crestview Hills, KY 41017
238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
Interoperability endpoints
- colson145246@direct-prd.stelizabeth.com
Organizations & group practices 5
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.
-
dba St. Elizabeth Physicians
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
-
dba St. Elizabeth Physicians
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
-
- Ambulatory Surgical Clinic/Center
- Crestview Hills, KY
- NPI 1881616357
-
dba Doctors Urgent Care Office
- Urgent Care Clinic/Center
- Erlanger, KY
- NPI 1447294277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1568616068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635283",
"address_2": "ST. ELIZABETH PHYSICIANS",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635283",
"telephone_number": "859-301-5650",
"fax_number": "859-301-6050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2845 CHANCELLOR DR",
"city": "CRESTVIEW HILLS",
"state": "KY",
"postal_code": "41017",
"telephone_number": "859-301-5605",
"fax_number": "859-301-6050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "CARRIE",
"middle_name": "LUTZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-11",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "34232",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64014475",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2269727",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARRIE",
"last_name": "LUTZ",
"middle_name": "ANN",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Crestview Hills, KY
- Thomas O'Connell, MD
- Kristin O'Leary, DPT
- Sheila Mary Obrien, REGISTERED NURSE
- Leigha Brooke Ochsner, CCC-SLP
- Ohio River Dialysis LLC (Crestview Hills At Home)
- Oncology Hematology Care, Inc
- Oncology Hematology Care, Inc.
- Option Care Infusion Suites, LLC
- Oral Facial Surgery Associates PSC
- Orthocincy Orthopaedics & Sports Medicine PSC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.