Active NPI
Ann-Cathrin Lutterloh
- Student in an Organized Health Care Education/Training Program
- Detroit, MI
National Provider Identifier
1770339947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3990 John R St
7 Brush N MB 165
Detroit, MI 48201 - Phone
- (313) 745-7555
- NPI assigned
- Apr 27, 2024
- Last updated
- Apr 27, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
3990 John R St
7 Brush N MB 165
Detroit, MI 48201
Mailing address
3990 John R St
7 Brush N MB 165
Detroit, MI 48201
Phone (313) 745-7555
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714176000000",
"number": "1770339947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3990 JOHN R ST",
"address_2": "7 BRUSH N MB 165",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-745-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3990 JOHN R ST",
"address_2": "7 BRUSH N MB 165",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-745-7555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTTERLOH",
"first_name": "ANN-CATHRIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-27",
"last_updated": "2024-04-27",
"certification_date": "2024-04-27",
"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 Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.