Active NPI
Katie Jean Lussetto
- Dental Hygienist
- North Platte, NE
National Provider Identifier
1649828906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2071
- Practice address
- 321 E 3Rd St
North Platte, NE 69101-4032 - Phone
- (308) 534-1332
- NPI assigned
- Aug 29, 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2071 | NE | Primary |
Addresses
Primary practice location
321 E 3Rd St
North Platte, NE 69101-4032
Mailing address
602 Sioux LN
North Platte, NE 69101-6754
Phone (308) 340-8182
Other practice location 1
111 N Dewey St
North Platte, NE 69101-5439
Phone (308) 696-1201
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 |
|---|---|---|---|
| 2071 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567036800000",
"number": "1649828906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 SIOUX LN",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691016754",
"telephone_number": "308-340-8182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 E 3RD ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691014032",
"telephone_number": "308-534-1332"
}
],
"practiceLocations": [
{
"address_1": "111 N Dewey St",
"address_purpose": "LOCATION",
"city": "North Platte",
"state": "NE",
"postal_code": "691015439",
"country_code": "US",
"telephone_number": "308-696-1201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUSSETTO",
"first_name": "KATIE",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-29",
"last_updated": "2019-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NE",
"license": "2071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Platte, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.