Active NPI
Katie Lutz
- Family Nurse Practitioner
- Mountain View, CA
National Provider Identifier
1578037859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95009147
- Practice address
- 151 Calderon Ave Apt 182
Mountain View, CA 94041-1444 - Phone
- (415) 213-4437
- NPI assigned
- Jan 19, 2019
- 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 Nurse Practitioner | 363LF0000X | 95009147 | CA | Primary |
Addresses
Primary practice location
151 Calderon Ave Apt 182
Mountain View, CA 94041-1444
Mailing address
151 Calderon Ave Apt 182
Mountain View, CA 94041-1444
Phone (415) 213-4437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547856000000",
"number": "1578037859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 CALDERON AVE APT 182",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940411444",
"telephone_number": "415-213-4437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 CALDERON AVE APT 182",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940411444",
"telephone_number": "415-213-4437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "KATIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-19",
"last_updated": "2019-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95009147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2019; 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.