TRACY LUTTRELL (NPI# 1497386817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497386817 |
| Entity Type | Individual |
| Full Name | TRACY LUTTRELL |
| Practice Address |
1107 Wilson St Lafayette OR 97127-9199 |
| Practice Telephone | 9712376468 |
| Mailing Telephone | 9712376468 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
201705789RN | OR | Nursing Service Providers |
| Street Address |
1107 WILSON ST |
| City | LAFAYETTE |
| State | OR |
| Zip Code | 97127-9199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942572896 | Jennifer J Choate | Veterinarian | 242 5th St, Lafayette, OR 97127 | 2012-02-07 |
| 1629282694 | Ann Helm | Registered Nurse | 1007 Third St, Lafayette, OR 97127-0760 | 2007-05-09 |
| 1295215358 | Meghan Christine Wagner | Behavioral Analyst | 1295 Crystal Ln, Lafayette, OR 97127-6115 | 2018-08-17 |
| 1841735743 | Benjamin Parks | Massage Therapist | 986 Bridge St, Lafayette, OR 97127-9174 | 2016-12-30 |
| 1962698852 | Angela D Self-lindsey | Massage Therapist | 1106 7th St, Lafayette, OR 97127-9236 | 2007-09-24 |
| 1750688263 | Anna Dora Nelson | Counselor | 1216 N Tyler Ct, Lafayette, OR 97127-9246 | 2011-02-17 |
| 1811323165 | Brenda Flores | Behavioral Analyst | 1063 14th St, Lafayette, OR 97127-9657 | 2013-09-18 |
| 1437585478 | Sergio Antonio Flores | Behavioral Analyst | 1063 14th St, Lafayette, OR 97127-9657 | 2013-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144501 | Sw Louisiana Internal Medicine LLC | Internal Medicine | 105 Patriot St Ste 202, Lafayette, LA 70508-6831 | 2020-11-04 |
| 1619578929 | Ann Marie Spratt | Specialist | 3248 Sentinel Heights Road, Lafayette, NY 13084 | 2020-11-03 |
| 1891395620 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 8a Probasco Street Unit 214, Lafayette, GA 30728 | 2020-10-30 |
| 1467051987 | Chit-chat Pediatric Therapy Services | Speech-Language Pathologist | 304 La Rue France, Lafayette, LA 70508-3134 | 2020-10-26 |
| 1295334704 | Layne Erica Dupre | Speech-Language Pathologist | 304 La Rue France Ste 101, Lafayette, LA 70508-3136 | 2020-10-26 |
| 1841899416 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd Ste 216a, Lafayette, CO 80026-2089 | 2020-10-23 |
| 1366041402 | Dillon Michael Kelly | Physician Assistant | 1214 Coolidge St., Lafayette, LA 70503-2621 | 2020-10-20 |
| 1700485059 | Joyce Ho | Occupational Therapist | 2586 Trailridge Dr E Ste 100, Lafayette, CO 80026-3111 | 2020-10-19 |
| 1366040735 | Innovative Therapy Solutions, LLC | Rehabilitation Practitioner | 1671 Saratoga Dr, Lafayette, CO 80026-9025 | 2020-10-16 |
| 1295333649 | Wanda Kaye's Heart | Community/Behavioral Health | 139b James Comeaux Rd # 563, Lafayette, LA 70508-3255 | 2020-10-16 |
| Find all providers in LAFAYETTE | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396008843 | Shelly Petry | Registered Nurse | 220 West Willow Street, Building A, Lafayette, LA 70501 | 2012-06-20 |
| 1659633584 | Marvida Gonsoulin-harris | Registered Nurse | 220 W Willow St # A, Lafayette, LA 70501-2837 | 2012-06-15 |
| 1871630012 | Cheryl Louise Turner | Registered Nurse | 220 W Willow St Bldg A, Lafayette, LA 70501-2837 | 2007-01-30 |
| 1861956369 | Stephanie A Boyne | Registered Nurse | 220 W Willow St Bldg A, Lafayette, LA 70501-2837 | 2019-01-29 |
| 1700363884 | Vallerie Robinson James | Registered Nurse | 106 Heymann Blvd, Lafayette, LA 70503-2322 | 2018-07-23 |
| 1386143774 | Christi Gay Kelly | Registered Nurse | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2018-02-12 |
| 1891232039 | Lucette Boudreaux | Registered Nurse | 220 W Willow St Bldg A, Lafayette, LA 70501-2837 | 2017-01-26 |
| 1902278633 | Katie Barilleaux Burleigh | Registered Nurse | 220 W Willow St Bldg A, Lafayette, LA 70501-2837 | 2015-10-21 |
| 1144626573 | Bree Sanchez | Registered Nurse | 220 W Willow St, Bldg A, Lafayette, LA 70501-2837 | 2014-11-12 |
| 1891117685 | Marie Shirley Martin | Registered Nurse | 220 W Willow St, Bldg A, Lafayette, LA 70501-2837 | 2014-01-13 |
| Find all providers in LAFAYETTE | ||||
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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.