TERESA D LUTTRELL (NPI# 1639680184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639680184 |
Entity Type | Individual |
Full Name | TERESA D LUTTRELL |
Practice Address |
2920 S Mcintire Dr Bloomington IN 47403-4221 |
Mailing Address |
1090 State Road 458 Bedford IN 47421-7548 |
Practice Telephone | 8123534953 |
Mailing Telephone | 8122756413 |
Enumeration Date | 2017-10-23 |
Last Update Date | 2017-10-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 237700000X | Hearing Instrument Specialist | 17001493A | IN | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | NONE | NONE | 01 |
Street Address |
2920 S MCINTIRE DR |
City | BLOOMINGTON |
State | IN |
Zip Code | 47403-4221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205834546 | Cheryl D Pittsford | Physician Assistant | 2920 S Mcintire Dr, Suite 350, Bloomington, IN 47403-4221 | 2005-07-11 |
1316431968 | Charlotte I Marks | Physician Assistant | 2920 S Mcintire Dr, Bloomington, IN 47403-4221 | 2018-06-18 |
1386186831 | Elizabeth Mullis | Nurse Practitioner | 2920 S Mcintire Dr, Suite 103, Bloomington, IN 47403-4221 | 2016-11-15 |
1831538297 | Summer Leann Appling | Obstetrics & Gynecology | 2920 S Mcintire Dr, Bloomington, IN 47403-4221 | 2013-06-19 |
1598103681 | Donna Cutshall | Advanced Practice Midwife | 2920 S Mcintire Dr, Suite 250, Bloomington, IN 47403-4221 | 2013-06-11 |
1417245317 | Southern Indiana Hearing Solutions | Audiologist | 2920 S Mcintire Dr, Suite 350, Bloomington, IN 47403-4221 | 2011-07-13 |
1376842039 | Tashera Everlois Narcissa Perry | Obstetrics & Gynecology | 2920 S Mcintire Dr, Suite 250, Bloomington, IN 47403-4221 | 2011-03-21 |
1750516076 | Rachel D Manley | Obstetrics & Gynecology | 2920 S Mcintire Dr, Suite 250, Bloomington, IN 47403-4221 | 2009-05-18 |
1811191000 | Kristin M Baar | Audiologist | 2920 S Mcintire Dr, #350, Bloomington, IN 47403-4221 | 2007-06-12 |
1366573966 | Alexa Helena Niehaus | Physician Assistant | 2920 S Mcintire Dr, Suite 350, Bloomington, IN 47403-4221 | 2007-03-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
Find all providers in zip 47403 |
Taxonomy Code | 237700000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Hearing Instrument Specialist |
Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962918367 | Tyler James Shank | Hearing Instrument Specialist | 2088 S Liberty Dr Ste 112, Bloomington, IN 47403-5171 | 2017-12-20 |
1497265870 | Midstate Hearing Inc. | Hearing Instrument Specialist | 3801 Ge Rd Ste 1, Bloomington, IL 61704-4193 | 2017-10-11 |
1790141117 | David Lewis | Hearing Instrument Specialist | 1833 N Kinser Pike, Bloomington, IN 47404-1914 | 2016-01-14 |
1881998102 | Mark Wayne Mcclintock | Hearing Instrument Specialist | 3801 General Electric Rd Ste 1, Bloomington, IL 61704-4193 | 2010-12-29 |
1477788388 | Paul Allen Thulin | Hearing Instrument Specialist | 10800 Normandale Blvd, Suite 103m, Bloomington, MN 55437-3130 | 2009-05-20 |
1659554277 | Shank & Wells Enterprises, LLC | Hearing Instrument Specialist | 2088 S Liberty Dr, Suite 112, Bloomington, IN 47403-5171 | 2007-12-06 |
1205974573 | Lori Ann Elkins | Hearing Instrument Specialist | 359 S Landmark Ave, Bloomington, IN 47403-5002 | 2007-02-01 |
1396379616 | Katherine A Mcclintock | Hearing Instrument Specialist | 3801 General Electric Rd Ste 1, Bloomington, IL 61704-4193 | 2020-02-25 |
1013381128 | Jacob Daniel Marlow | Hearing Instrument Specialist | 2412 E Washington St, Suite 2, Bloomington, IL 61704-4497 | 2015-12-01 |
1760812234 | Kelly Amanda Wycoff | Hearing Instrument Specialist | 359 S Landmark Ave, Bloomington, IN 47403-5002 | 2013-11-20 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 47403 |
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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.