Active NPI
Jennifer Colleen Lutz, RN
- Registered Nurse
- Myrtle Beach, SC
National Provider Identifier
1982272985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 108447
- Practice address
- 332 Esher CT
Myrtle Beach, SC 29579-3325 - Phone
- (540) 446-4327
- NPI assigned
- Jun 15, 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 108447 | SC | Primary |
Addresses
Primary practice location
332 Esher CT
Myrtle Beach, SC 29579-3325
Mailing address
332 Esher CT
Myrtle Beach, SC 29579-3325
Phone (540) 446-4327
Other names 1
- Jennifer Colleen Hanna
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108447 | SC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623715200000",
"number": "1982272985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 ESHER CT",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295793325",
"telephone_number": "540-446-4327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 ESHER CT",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295793325",
"telephone_number": "540-446-4327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "JENNIFER",
"middle_name": "COLLEEN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-15",
"last_updated": "2021-06-15",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "108447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "HANNA",
"middle_name": "COLLEEN",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.