Active NPI
Christine Mary Lutz, GNP
- Gerontology Nurse Practitioner
- Minnetonka, MN
National Provider Identifier
1689830507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN-2701
- Practice address
- 9900 Bren Rd E
Minnetonka, MN 55343-9664 - Phone
- (808) 291-6047
- NPI assigned
- Jul 30, 2008
- Last updated
- Feb 14, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 212196-4405 | UT | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN-2701 | HI | Primary |
Addresses
Primary practice location
9900 Bren Rd E
Minnetonka, MN 55343-9664
Mailing address
9900 Bren Rd E
Minnetonka, MN 55343-9664
Phone (808) 291-6047
Other names 1
- Christine Mary Underwood
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.72 of 100
- Quality
- 67.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-2701 | HI | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Kapiolani Medical Center for Women & Children | Past | Accepting new patients | |
| Straub Clinic & Hospital | Past | Accepting new patients |
Locations
888 S King St
Honolulu, HI 96813
Phone (808) 522-4000
Organizations & group practices 4
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.
-
dba Straub Benioff Medical Center
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1457306508
-
dba Hawaii Pacific Health Specialty Pharmacy
- Community/Retail Pharmacy
- Honolulu, HI
- NPI 1295443216
-
dba Kapiolani Medical Center Outpatient Pharmacy
- Community/Retail Pharmacy
- Honolulu, HI
- NPI 1841263720
-
- Durable Medical Equipment & Medical Supplies
- Honolulu, HI
- NPI 1851443733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1689830507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 BREN RD E",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553439664",
"telephone_number": "808-291-6047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 BREN RD E",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553439664",
"telephone_number": "808-291-6047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "CHRISTINE",
"middle_name": "MARY",
"credential": "GNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-30",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "UT",
"license": "212196-4405",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "HI",
"license": "APRN-2701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "UNDERWOOD",
"middle_name": "MARY",
"credential": "GNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Minnetonka, MN
- Andrea Lund
- Lund's Inc (Prairiestone Pharmacy)
- Cheryl Lynn Lundsgaard, ACSW, LICSW
- Linh Boi Luong, BA
- Deborah Marie Luther, LMFT
- Erica Marie Lutz
- Luxottica of America Inc (Target Optical #2023)
- Luxottica of America Inc. (LensCrafters #327)
- Luxottica Retail North America, Inc (Lenscrafters At Macy's #8878)
- Ronald Joseph Lyman, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.