Sasha Laine Kutz, APRN, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A005127 Issued in AR

Practice address

1678 Kensington PL
Springdale, AR 72764-1159

Phone

(479) 799-7515

NPI assigned

May 10, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Sasha Laine Fossett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1720514847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1678 KENSINGTON PL",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727641159",
            "telephone_number": "479-799-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1678 KENSINGTON PL",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727641159",
            "telephone_number": "479-799-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTZ",
        "first_name": "SASHA",
        "middle_name": "LAINE",
        "credential": "APRN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A005127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SASHA",
            "last_name": "FOSSETT",
            "middle_name": "LAINE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sudheer Reddy Koyagura, M.D., MPH
• Moriah Elaine Kramer, M.D.
• Walt Kramer
• Schuyler Ronan Kraus, DACM, DIPL. OM, L.AC
• Megan Michelle Kumpe, PNP
• Shealtiel Blu Kuykendall, LCSW
• Kyle W. Harris DDS. PLLC
• Jessica Lagrone, CD, CCE, MAT
• Ashley D Lahue
• Landry Laird, PT, DPT

• Nurse Practitioner in Springdale, AR
• Providers in Springdale, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.

Verify at the official NPI Registry.