Individual provider Active NPI

Sarah A Luetke, RDH

  • Dental Hygienist
  • Poulsbo, WA
National Provider Identifier
1891162772
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
HL00007098 Issued in WA
Practice address
2235 NE Castle Dr
Poulsbo, WA 98370-8068
Phone
(206) 319-3766
Fax
(206) 745-3811
NPI assigned
Aug 27, 2015
Last updated
Jun 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Denturist 122400000X DN61260663 WA
Dental Hygienist 124Q00000X HL00007098 WA Primary

Addresses

Primary practice location

2235 NE Castle Dr
Poulsbo, WA 98370-8068

Mailing address

PO Box 46
Keyport, WA 98345-0046
Phone (206) 319-3766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN61260663WAMDDenturist
HL00007098WAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Luetke, PLLC Denturist Current 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": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1891162772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46",
            "city": "KEYPORT",
            "state": "WA",
            "postal_code": "983450046",
            "telephone_number": "206-319-3766",
            "fax_number": "206-745-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 NE CASTLE DR",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708068",
            "telephone_number": "206-319-3766",
            "fax_number": "206-745-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUETKE",
        "first_name": "SARAH",
        "middle_name": "A",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN61260663",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "HL00007098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.