Active NPI
Kristen Jean Lutzel, OTR/L
- Occupational Therapist
- Naples, FL
National Provider Identifier
1902170079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 01371
- Practice address
- 1670 Windy Pines Dr
Unit 3
Naples, FL 34112-7584 - Phone
- (239) 774-1257
- NPI assigned
- Mar 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT13871 | FL | |
| Occupational Therapist | 225X00000X | 003891 | CT | |
| Occupational Therapist | 225X00000X | 01371 | RI | Primary |
Addresses
Primary practice location
1670 Windy Pines Dr
Unit 3
Naples, FL 34112-7584
Mailing address
1670 Windy Pines Dr
Unit 3
Naples, FL 34112-7584
Phone (239) 774-1257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT13871 | FL | MD | Occupational Therapist |
| 01371 | RI | MD | Occupational Therapist |
| 003891 | CT | MD | Family Nurse Practitioner |
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.
-
dba The Seasons East Greenwich
- Assisted Living Facility
- East Greenwich, RI
- NPI 1962726034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647561600000",
"number": "1902170079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 WINDY PINES DR",
"address_2": "UNIT 3",
"city": "NAPLES",
"state": "FL",
"postal_code": "341127584",
"telephone_number": "239-774-1257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 WINDY PINES DR",
"address_2": "UNIT 3",
"city": "NAPLES",
"state": "FL",
"postal_code": "341127584",
"telephone_number": "239-774-1257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZEL",
"first_name": "KRISTEN",
"middle_name": "JEAN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-06",
"last_updated": "2022-03-18",
"certification_date": "2022-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT13871",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "003891",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "RI",
"license": "01371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
- Michael D Lusk, M.D.
- Adrian Lusse
- Jordan Caroline Luther, DPT
- Peter Joseph Luthringer, DPM
- Brandon James Luttrell, DPT
- Vinh Duc Luu, M.D.
- Debi Lux, DDS
- Luxottica of America Inc. (Pearle Vision # 6588)
- Luxottica of America Inc. (LensCrafters #851)
- Luxottica Retail North America Inc (Sears Optical #0128)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.