Individual provider Active NPI

Katherine Grace Tuttle, APRN

  • Family Nurse Practitioner
  • Gering, NE
National Provider Identifier
1821574807
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
112538 Issued in NE
Practice address
Community Action Partnership of Western Nebraska
3350 10TH Street
Gering, NE 69341
Phone
(308) 632-2540
NPI assigned
Jul 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 112538 NE Primary

Addresses

Primary practice location

Community Action Partnership of Western Nebraska
3350 10TH Street
Gering, NE 69341

Mailing address

90521 Sugar Factory Rd
Scottsbluff, NE 69361-7403
Phone (308) 641-7980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190128001618 NE Practitioner - Nurse Practitioner 9436496502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nebraska College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Action Partnership of Western NebraskaGroup PAC ID 2860399714, 18 clinicians

Practice addresses (Care Compare)

975 Crescent Dr
Gering, NE 69341-1712
Phone (308) 632-2540

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Action Partnership of Western Nebraska CurrentSince Nov 20, 2018 Accepting new patients

Locations

975 Crescent Dr
Gering, NE 69341
Phone (308) 632-2540

3350 10th St
Gering, NE 69341
Phone (308) 632-2540

Interoperability endpoints

  • Direct secure messaging: katherine.tuttle.p1@direct.capwn.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1821574807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90521 SUGAR FACTORY RD",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693617403",
            "telephone_number": "308-641-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMUNITY ACTION PARTNERSHIP OF WESTERN NEBRASKA",
            "address_2": "3350 10TH STREET",
            "city": "GERING",
            "state": "NE",
            "postal_code": "69341",
            "telephone_number": "308-632-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "KATHERINE",
        "middle_name": "GRACE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gering, NE

Sources for this page

Verify at the official NPI Registry.