Individual provider Active NPI

Emily Kathleen Tutt, DO

  • Family Medicine Physician
  • Casper, WY
National Provider Identifier
1962082784
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
V3122 Issued in TX
Practice address
3632 American Way
Casper, WY 82604-3164
Phone
(307) 234-6765
NPI assigned
Apr 14, 2021
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16118A WY
Family Medicine Physician 207Q00000X V3122 TX Primary

Addresses

Primary practice location

3632 American Way
Casper, WY 82604-3164

Mailing address

1100 W Reynosa Ave
De Leon, TX 76444-1630
Phone (254) 893-5895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240910000464 TX Practitioner - Family Practice 7911377189 Reassigns benefits to 1 organization
I20250830000498 WY Practitioner - Family Practice 7911377189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3632 American Way
Suite a
Casper, WY 82604-3164
Phone (307) 234-6765

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
V3122TXMDFamily Medicine Physician
16118AWYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians West LLC CurrentSince Sep 15, 2025 Accepting new patients
Cross Timbers Health Clinics, Inc. Current Accepting new patients
Banner Health Physicians West LLC CurrentSince Sep 15, 2025 Accepting new patients
Cross Timbers Health Clinics, Inc CurrentSince Aug 19, 2024 Accepting new patients

Locations

2100 Crockett Dr
Brownwood, TX 76801
Phone (325) 646-0704

1100 W Reynosa Ave
De Leon, TX 76444
Phone (254) 893-5895

135 River North Blvd
Stephenville, TX 76401
Phone (254) 965-2810

3632 American Way
Ste A
Casper, WY 82604
Phone (307) 234-6765

1106 Big Horn Ave
Worland, WY 82401
Phone (307) 347-3221

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1962082784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W REYNOSA AVE",
            "city": "DE LEON",
            "state": "TX",
            "postal_code": "764441630",
            "telephone_number": "254-893-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3632 AMERICAN WAY",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826043164",
            "telephone_number": "307-234-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTT",
        "first_name": "EMILY",
        "middle_name": "KATHLEEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "16118A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V3122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.