Individual provider Active NPI

Lauren Dawn Duttry, STUDENT, HEALTH CARE

  • Student in an Organized Health Care Education/Training Program
  • Lynchburg, VA
National Provider Identifier
1740099159
Registry record updated Jan 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
306 Liberty View LN
Lynchburg, VA 24502-2291
Phone
(434) 592-6400
NPI assigned
Jan 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

306 Liberty View LN
Lynchburg, VA 24502-2291

Mailing address

1575 Stevenson Hill Rd
Reynoldsville, PA 15851-7865
Phone (814) 661-5708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250916003664 PA Order and Referring Only - Family PracticePractitioner - Family Practice 4587168265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1735689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735689600000",
    "number": "1740099159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 STEVENSON HILL RD",
            "city": "REYNOLDSVILLE",
            "state": "PA",
            "postal_code": "158517865",
            "telephone_number": "814-661-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 LIBERTY VIEW LN",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022291",
            "telephone_number": "434-592-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTRY",
        "first_name": "LAUREN",
        "middle_name": "DAWN",
        "credential": "STUDENT, HEALTH CARE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-01",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.