Individual provider Active NPI

Amy Judith Tutu, LPN

  • Licensed Practical Nurse
  • Chaska, MN
National Provider Identifier
1932429487
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
L50364-6 Issued in MN
Practice address
1894 Clover Meadow Dr
Chaska, MN 55318-5400
Phone
(612) 804-8579
NPI assigned
Jun 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X L50364-6 MN Primary

Addresses

Primary practice location

1894 Clover Meadow Dr
Chaska, MN 55318-5400

Mailing address

1894 Clover Meadow Dr
Chaska, MN 55318-5400
Phone (612) 804-8579

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
L50364-6MNMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275868800000",
    "number": "1932429487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1894 CLOVER MEADOW DR",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553185400",
            "telephone_number": "612-804-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1894 CLOVER MEADOW DR",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553185400",
            "telephone_number": "612-804-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTU",
        "first_name": "AMY",
        "middle_name": "JUDITH",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "L50364-6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.