Active NPI
Katherine Tutt
- Marriage & Family Therapist
- Davie, FL
National Provider Identifier
1962177014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMT3494
- Practice address
- 8821 Lake Park Cir N
Davie, FL 33328-7011 - Phone
- (954) 593-4076
- NPI assigned
- Aug 11, 2021
- Last updated
- Aug 12, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMT3494 | FL | Primary |
Addresses
Primary practice location
8821 Lake Park Cir N
Davie, FL 33328-7011
Mailing address
8821 Lake Park Cir N
Davie, FL 33328-7011
Phone (954) 593-4076
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | doxy.me |
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMT3494 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1962177014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8821 LAKE PARK CIR N",
"city": "DAVIE",
"state": "FL",
"postal_code": "333287011",
"telephone_number": "954-593-4076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8821 LAKE PARK CIR N",
"city": "DAVIE",
"state": "FL",
"postal_code": "333287011",
"telephone_number": "954-593-4076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUTT",
"first_name": "KATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-11",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "IMT3494",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "doxy.me",
"affiliation": "N",
"address_1": "8821 Lake Park Cir N",
"city": "Davie",
"state": "FL",
"country_code": "US",
"postal_code": "333287011",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.