Active NPI
Kenneth Lutz, RRT
- Respite Care
- Georgetown, DE
National Provider Identifier
1972986198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- License
- C9-0000780
- Practice address
- 26351 Patriots Way
Georgetown, DE 19947-2575 - Phone
- (302) 933-3000
- NPI assigned
- Jul 7, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Respite Care | 385H00000X | C9-0000780 | DE | Primary |
Addresses
Primary practice location
26351 Patriots Way
Georgetown, DE 19947-2575
Mailing address
156 Marcel Ave
Frederica, DE 19946-2933
Phone (302) 526-9144
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 |
|---|---|---|---|
| C9-0000780 | DE | MD | Respite Care |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436227200000",
"number": "1972986198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 MARCEL AVE",
"city": "FREDERICA",
"state": "DE",
"postal_code": "199462933",
"telephone_number": "302-526-9144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26351 PATRIOTS WAY",
"city": "GEORGETOWN",
"state": "DE",
"postal_code": "199472575",
"telephone_number": "302-933-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "KENNETH",
"credential": "RRT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-07",
"last_updated": "2015-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "DE",
"license": "C9-0000780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.