Organization Active NPI

Jeffrey Tuttle, M.D., P.L.L.C.

  • Adult Mental Health Clinic/Center
  • Lexington, KY
National Provider Identifier
1891012811
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
40860 Issued in KY
Legal business name
JEFFREY TUTTLE, M.D., P.L.L.C.
Practice address
219 E High St
Lexington, KY 40507-1409
Phone
(859) 537-7332
Fax
(859) 258-9209
NPI assigned
Apr 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Authorized official

Name
Dr. Jeffrey Tuttle, M.D.NPI 1700088515
Title
Member
Phone
(859) 537-7332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 40860 KY Primary

Addresses

Primary practice location

219 E High St
Lexington, KY 40507-1409

Mailing address

219 E High St
Lexington, KY 40507-1409
Phone (859) 537-7332

Other practice location 1

225 Walton Ave Ste 100
Lexington, KY 40502-1441
Phone (859) 537-7332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100503000455 KY Part B Supplier - Clinic/Group Practice 2668500216 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Locations

121 Walton Ave
Lexington, KY 40508
Phone (859) 537-7332

219 E High St
Lexington, KY 40507
Phone (859) 221-2276

225 Walton Ave
Ste 100
Lexington, KY 40502
Phone (859) 221-2276

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1891012811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E HIGH ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405071409",
            "telephone_number": "859-537-7332",
            "fax_number": "859-258-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E HIGH ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405071409",
            "telephone_number": "859-537-7332",
            "fax_number": "859-258-9209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Walton Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405021441",
            "country_code": "US",
            "telephone_number": "859-537-7332",
            "fax_number": "859-258-9209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEFFREY TUTTLE, M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "TUTTLE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "859-537-7332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "KY",
            "license": "40860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.