Lauren Nicole Cutburth, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

30050012 Issued in TX

Practice address

10864 Texas Health TRL
Fort Worth, TX 76244-4897

Phone

(682) 212-2000

NPI assigned

Dec 5, 2020

Last updated

Dec 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1607126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607126400000",
    "number": "1629674734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12025 RINGTAIL DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10864 TEXAS HEALTH TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444897",
            "telephone_number": "682-212-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTBURTH",
        "first_name": "LAUREN",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-05",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "30050012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTCB",
            "identifier": "30050012",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Careconnect",
            "affiliation": "N",
            "address_1": "10864 Texas Health Trl",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762444897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeffrey Dale Curtis, PA-C
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• Kelli Dawn Cutshall
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• CVS Pharmacy Inc (CVS Pharmacy #06817)

• Pharmacy Technician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pharmacy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2020; 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.