Active NPI
Tausha Luttrell
- Specialist
- Fishers, IN
National Provider Identifier
1609219930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MT20903175
- Practice address
- 8609 E 116TH St
Fishers, IN 46038-1560 - Phone
- (317) 709-4559
- NPI assigned
- Apr 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MT20903175 | IN | Primary |
Addresses
Primary practice location
8609 E 116TH St
Fishers, IN 46038-1560
Mailing address
784 N Pendleton Ave
Pendleton, IN 46064-8977
Phone (317) 709-4559
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT20903175 | IN | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366156800000",
"number": "1609219930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "784 N PENDLETON AVE",
"city": "PENDLETON",
"state": "IN",
"postal_code": "460648977",
"telephone_number": "317-709-4559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8609 E 116TH ST",
"city": "FISHERS",
"state": "IN",
"postal_code": "460381560",
"telephone_number": "317-709-4559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTTRELL",
"first_name": "TAUSHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-17",
"last_updated": "2013-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IN",
"license": "MT20903175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fishers, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.