Active NPI
Cassandra L Lutes, APRN,FNP
- Adult Health Nurse Practitioner
- Troy, MO
National Provider Identifier
1982898326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 2000158996
- Practice address
- 215 Highway Aa
Troy, MO 63379 - Phone
- (636) 295-1009
- NPI assigned
- Aug 29, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2000158996 | MO | |
| Primary Care Nurse Practitioner | 363LP2300X | 2000158996 | MO | |
| Adult Health Nurse Practitioner | 363LA2200X | 2000158996 | MO | Primary |
| Community Health Nurse Practitioner | 363LC1500X | 2000158996 | MO |
Addresses
Primary practice location
215 Highway Aa
Troy, MO 63379
Mailing address
215 Highway Aa
Troy, MO 63379-4423
Phone (636) 295-1009
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000158996 | MO | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Past | Accepting new patients | |
| Compass Health, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Rolla, MO
- NPI 1558258632
-
- Federally Qualified Health Center (FQHC)
- Saint Charles, MO
- NPI 1083033591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527984000000",
"number": "1982898326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 HIGHWAY AA",
"city": "TROY",
"state": "MO",
"postal_code": "633794423",
"telephone_number": "636-295-1009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 HIGHWAY AA",
"city": "TROY",
"state": "MO",
"postal_code": "63379",
"telephone_number": "636-295-1009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTES",
"first_name": "CASSANDRA",
"middle_name": "L",
"credential": "APRN,FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-29",
"last_updated": "2018-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2000158996",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MO",
"license": "2000158996",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MO",
"license": "2000158996",
"primary": true
},
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "MO",
"license": "2000158996",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.