MATTHEW R LUTJENS (NPI# 1023568516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023568516 |
| Entity Type | Individual |
| Full Name | MATTHEW R LUTJENS |
| Credential | CNP |
| Practice Address |
105 S State St Ste 113 Aberdeen SD 57401-4502 |
| Mailing Address |
Po Box 1460 Aberdeen SD 57402-1460 |
| Practice Telephone | 6052250378 |
| Practice Fax Number | 6052257919 |
| Mailing Telephone | 6056222876 |
| Mailing Fax Number | 6056222804 |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CP001148 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 615 6th Ave Se, Aberdeen, SD 574014538 | 6056228689 | 6056222747 |
| 922 22nd Ave S, Brookings, SD 570062830 | 6056971900 |
| Street Address |
105 S STATE ST STE 113 |
| City | ABERDEEN |
| State | SD |
| Zip Code | 57401-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013143296 | Avera St. Luke's | Family Medicine | 105 S State St Ste 113, Aberdeen, SD 57401-4502 | 2009-06-02 |
| 1760968085 | Sarah Ann Siebert | Nurse Practitioner | 105 S State St Ste 113, Aberdeen, SD 57401 | 2018-07-19 |
| 1184143232 | Michele Olivia Hoellein | Physician Assistant | 105 S State St Ste 113, Aberdeen, SD 57401-4502 | 2017-09-10 |
| 1043693849 | Kathryn Mary Martinez | Family Medicine | 105 S State St Ste 113, Aberdeen, SD 57401-4502 | 2015-06-30 |
| 1386906733 | Julie Nicole Johnson | Nurse Practitioner | 105 S State St Ste 113, Aberdeen, SD 57401-4502 | 2012-06-12 |
| 1881981561 | Jonathan James Olson | Family Medicine | 105 S State St Ste 113, Aberdeen, SD 57401-4502 | 2011-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679002950 | Brenda Lee Pence | Registered Nurse | 305 S. State St., Aberdeen, SD 57401 | 2017-06-08 |
| 1104366475 | Jordan Shangreaux | Specialist/Technologist | 2200 S Roosevelt St, Aberdeen, SD 57401 | 2017-03-06 |
| 1205387545 | Midwest Medical Transport Company, LLC-aberdeen, Sd | Ambulance | 2919 Industrial Avenue, Aberdeen, SD 57401 | 2016-10-21 |
| 1356752471 | Cameron Eichler Enterprises | Hearing Aid Equipment | 110 6th Ave Se Ste 106, Aberdeen, SD 57401 | 2014-05-12 |
| 1184059412 | Richard Allen Ward IIi | Hearing Instrument Specialist | 1315 6th Avenue Se, Suite 4, Aberdeen, SD 57401 | 2013-09-05 |
| 1427395540 | Matthew William Svensen | Physical Therapist | 1109 S Jay St, Aberdeen, SD 57401 | 2013-01-09 |
| 1750655940 | Robert Ashly Froke | Audiologist | 121 4th Ave Sw-suite 1, Natural Hearing Center, Aberdeen, SD 57401 | 2012-03-06 |
| 1457504862 | Rodney S Johnson | Counselor | 14 S Main St Ste 1e, Aberdeen, SD 57401 | 2008-10-29 |
| 1518115005 | Dakota Chiropractic of Aberdeen, PC | Chiropractor | 520 Moccasin Drive, Aberdeen, SD 57401 | 2008-09-09 |
| 1558554626 | Tiffany Zimmerman Hoeft | Speech-Language Pathologist | 39515 Pintail Ave, Aberdeen, SD 57401 | 2007-08-22 |
| Find all providers in zip 57401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380162 | Jessie Alayne Prescott | Nurse Practitioner | 3104 Schindler Dr, Aberdeen, NJ 07747-3781 | 2020-09-11 |
| 1508334772 | Sophia Lenter | Nurse Practitioner | 1325 Stewart Dr, Aberdeen, SD 57401-2682 | 2018-11-06 |
| 1790263473 | Sharon Freeman Taylor | Nurse Practitioner | 1902 N Sandhills Blvd Ste C, Aberdeen, NC 28315-2347 | 2018-08-03 |
| 1063968857 | Belinda Lincoln-lee | Nurse Practitioner | 998 Hospitality Way Ste A, Aberdeen, MD 21001-1759 | 2016-08-31 |
| 1881149854 | Tina Albrecht | Nurse Practitioner | 1088 Route 34, Aberdeen, NJ 07747-1948 | 2016-08-19 |
| 1154707552 | Nathan Howard Valentine | Nurse Practitioner | 1020 Anderson Dr Ste 203, Aberdeen, WA 98520-1055 | 2015-08-07 |
| 1285043612 | Vanessa N Satterwhite | Nurse Practitioner | 200 E Commerce St, Aberdeen, MS 39730-2712 | 2014-08-11 |
| 1366876120 | Holly Celeste Clements | Nurse Practitioner | 954 Anderson Dr Ste 102, Pmg Sw Wa Prcs Aberdeen Clinic, Aberdeen, WA 98520-1001 | 2013-08-29 |
| 1174863690 | Ronald Scott Oman | Nurse Practitioner | 615 F Street, Aberdeen, WA 98520 | 2013-02-20 |
| 1548559933 | Marsha Houk Health Clinic, LLC | Nurse Practitioner | 50141 Votech Rd, Aberdeen, MS 39730-9029 | 2011-04-06 |
| Find all providers in ABERDEEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.