Individual provider Active NPI

Kathleen Cullen-Lutter, RN/NM

  • Advanced Practice Midwife
  • N Chelmsford, MA
National Provider Identifier
1588096267
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN214968 Issued in MA
Practice address
20 Research PL
Suite320
N Chelmsford, MA 01863-2454
Phone
(978) 256-1858
Fax
(978) 788-7890
NPI assigned
Aug 5, 2013
Last updated
Nov 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN214968 MA Primary

Addresses

Primary practice location

20 Research PL
Suite320
N Chelmsford, MA 01863-2454

Mailing address

20 Research PL
Suite 320
N Chelmsford, MA 01863-2454
Phone (978) 256-1858

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140409000046 MA Practitioner - Certified Nurse Midwife (CNM) 3476785320 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LGH Medical Group, Inc.Group PAC ID 3173626751, 165 clinicians

Practice addresses (Care Compare)

295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 788-7344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN214968MAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
LGH Medical Group, Inc. CurrentSince Sep 4, 2021 Accepting new patients
Circle Health OBGYN, LLC. CurrentSince Jan 1, 2014 Accepting new patients
Coastal Medical Associates CurrentSince Apr 13, 2023 Accepting new patients
LGH Professional Services LLC Past Accepting new patients
LGH Womanhealth PastSince Jan 1, 2014 Accepting new patients

Locations

9 Loon Hill Rd
Ste 201
Dracut, MA 01826
Phone (978) 452-2121

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

20 Research Pl
Ste 320
North Chelmsford, MA 01863
Phone (978) 256-1858

600 Clark Rd
Tewksbury, MA 01876
Phone (978) 452-3453

198 Littleton Rd
Westford, MA 01886
Phone (978) 323-0300

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

Interoperability endpoints

  • Direct secure messaging: kathleen.cullenlutter@womanhealth.circlehealthdirect.org
  • Direct secure messaging: kcullenlutter26848@tuftsmedicine.direct-ci.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.

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1588096267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RESEARCH PL",
            "address_2": "SUITE 320",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018632454",
            "telephone_number": "978-256-1858",
            "fax_number": "978-788-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RESEARCH PL",
            "address_2": "SUITE320",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018632454",
            "telephone_number": "978-256-1858",
            "fax_number": "978-788-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN-LUTTER",
        "first_name": "KATHLEEN",
        "credential": "RN/NM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "RN214968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.