Clara J Tuttle, LPN

Key facts

NPI

1831473958

Entity type

Individual (NPI type 1)

Primary specialty

Licensed Practical Nurse 164W00000X

License

261129 (NY)

Practice address

1363 Turnpike Rd
New Berlin, NY 13411-3823

Phone

(607) 847-8402

NPI assigned

Oct 7, 2011

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 7, 2011.

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1831473958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 TURNPIKE RD",
            "city": "NEW BERLIN",
            "state": "NY",
            "postal_code": "134113823",
            "telephone_number": "607-847-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 TURNPIKE RD",
            "city": "NEW BERLIN",
            "state": "NY",
            "postal_code": "134113823",
            "telephone_number": "607-847-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "CLARA",
        "middle_name": "J",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "261129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN",
            "identifier": "261129",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Village of New Berlin
• Jennifer Marie Wellenstein, OTR

All providers in New Berlin, NY · Licensed Practical Nurse in New York