Elizabeth Kutilek, APRN

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1180615 Issued in TX

Practice address

3801 Gaston Ave Ste 315
Dallas, TX 75246-2501

Phone

(214) 824-2121

NPI assigned

Jan 2, 2025

Last updated

Mar 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ha Grand PA

  • Sleep Medicine (Internal Medicine) Physician
  • Dallas, TX
  • NPI 1124253471
  NPD

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1720897960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 GASTON AVE STE 315",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462501",
            "telephone_number": "972-576-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 GASTON AVE STE 315",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462501",
            "telephone_number": "214-824-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTILEK",
        "first_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1180615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Igor Kushner, MD
• Kara Kushwaha
• Ivy Kusi, AGACNP-BC
• Temitope Kusoro
• Maximillian Vaughn Kutch, MD
• Lynn Kutler, PHD, RN, FMCHC
• Camille Elizabeth Kutter
• Sarah Grace Dorothy Kutter
• Joe Walter Kutz Jr., M.D.
• Kuwashima Pain Management PLLC (Trinity TMJ & Facial Pain Specialists)

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.