Lutheran Medical Center

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

LUTHERAN MEDICAL CENTER

Practice address

305 Dominick Pont
Knoxville, TN 37934

Phone

(865) 257-5359

NPI assigned

Jun 23, 2014

Last updated

Jun 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Anita Brown, D.D.S.,

Title

Dental Resident

Phone

(865) 257-5359

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Frederiksted Health Care, Inc. Former legal business name

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1679988380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 DOMINICK PONT",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37934",
            "telephone_number": "865-257-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 DOMINICK PONT",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37934",
            "telephone_number": "865-257-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "DENTAL RESIDENT",
        "authorized_official_telephone_number": "865-257-5359",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.D.S.,"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LUTHERAN MEDICAL CENTER",
            "identifier": "3384",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frederiksted Health Care, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jay Lusk, PT
• Kelsie Lusk, PT
• Lusovu-USA
• James Daniel Luster
• Krista-Beth Luther
• Bobby Gene Luttrell, D.O.
• David Brandon Luttrell
• Douglas H Luttrell, NP
• Emma Luttrell
• Jamaiya Luttrell, BSSW

• Health Maintenance Organization in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Health Maintenance Organization in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.