Active NPI
Jayson Jeffery Lutes, RN
- Ambulatory Care Registered Nurse
- Gilbert, AZ
National Provider Identifier
1710491964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Registered Nurse
- License
- RN103132
- Practice address
- 869 W Chilton Ave
Gilbert, AZ 85233-4710 - Phone
- (480) 259-8230
- Fax
- (480) 259-8230
- NPI assigned
- Nov 27, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | RN103132 | AZ | Primary |
Addresses
Primary practice location
869 W Chilton Ave
Gilbert, AZ 85233-4710
Mailing address
869 W Chilton Ave
Gilbert, AZ 85233-4710
Phone (480) 259-8230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN103132 | Other | AZ | VETERANS ADMINISTRATION |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN103132 | AZ | MD | Ambulatory Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511740800000",
"number": "1710491964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "869 W CHILTON AVE",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852334710",
"telephone_number": "480-259-8230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "869 W CHILTON AVE",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852334710",
"telephone_number": "480-259-8230",
"fax_number": "480-259-8230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTES",
"first_name": "JAYSON",
"middle_name": "JEFFERY",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-27",
"last_updated": "2017-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "AZ",
"license": "RN103132",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VETERANS ADMINISTRATION",
"identifier": "RN103132",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.