Luzviminda Selga Koutney, FNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95029085 Issued in CA

Practice address

8152 Genex Way
Elk Grove, CA 95757-6207

Phone

(916) 831-0404

NPI assigned

Feb 14, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Centers of AmericaGroup PAC ID 3476813460, shared by 2 NPIs, 112 clinicians

All Inclusive Medical Services IncGroup PAC ID 3274855879, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lkoutney764071@hisp.ehr.sutterhealth.org

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Kevin & Luz Enterprises Inc

  • Home Health Agency
  • Sacramento, CA
  • NPI 1992350185

  5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

  CMS ownership

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.

• All Inclusive Medical Services, Inc

  • Internal Medicine Physician
  • Carmichael, CA
  • NPI 1518369891
  Medicare reassignment Care Compare group NPD
• All Inclusive Medical Services Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Carmichael, CA
  • NPI 1952917635
  Medicare reassignment NPD
• Kevin & Luz Enterprises Inc

  • Home Health Agency
  • Sacramento, CA
  • NPI 1992350185
  NPD Authorized official
• Active Life Wound Clinic a Professional Nursing Corporation

  • Nurse Practitioner
  • Sacramento, CA
  • NPI 1801253323
  NPD

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1992560569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8152 GENEX WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957576207",
            "telephone_number": "916-831-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8152 GENEX WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957576207",
            "telephone_number": "916-831-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUTNEY",
        "first_name": "LUZVIMINDA",
        "middle_name": "SELGA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95029085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Paola Korhummel
• Einari Korth
• Jesse Koskey, MD
• Phillip Kostyuk, MS, CCC-SLP
• Rachana Neelum Sukhnandan Koura, M.D.
• Pamela A. Kozlow, LCSW
• Miranda Noel Kramer
• Myia C Kramer, LMFT
• Jennifer Krawczyk
• Eugene Kreys

• Primary Care Nurse Practitioner in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.