DEREK LUTZ (NPI# 1053922211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053922211 |
| Entity Type | Individual |
| Full Name | DEREK LUTZ |
| Practice Address |
834 Thurber Dr W Apt 25 Columbus OH 43215-1278 |
| Practice Telephone | 7404156316 |
| Mailing Telephone | 7404156316 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
834 THURBER DR W APT 25 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43215-1278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912529496 | Ade Elisha | Counselor | 61 West Long St, Columbus, OH 43215 | 2020-05-07 |
| 1073140083 | Ryan Jeffrey Stone | Student in an Organized Health Care Education/Training Program | 393 E. Town Street, #116, Columbus, OH 43215 | 2020-03-27 |
| 1316572316 | Covermymeds Specialty Pharmacy LLC | Pharmacy | 2 Miranova Pl 10th Fl, Suite 101, Columbus, OH 43215 | 2020-03-10 |
| 1902443807 | Nicole Marie Thompson | Social Worker | Southeast, Inc., 16 W Long St, Columbus, OH 43215 | 2019-12-10 |
| 1043852858 | Rachel Therese James | Licensed Practical Nurse | 1380 Dublin Rd Suite 100, Columbus, OH 43215 | 2019-10-14 |
| 1447804737 | Remington-davis, Inc. | Specialist | 1335 Dublin Road, Suite 106a, Columbus, OH 43215 | 2019-07-25 |
| 1346892619 | Nicole Nuxol Talley | Nurse Practitioner | 1335 Dublin Rd Ste 124-d, Columbus, OH 43215 | 2019-07-16 |
| 1730650664 | Sierra N White | Marriage & Family Therapist | 399 E. Main Street, Columbus, OH 43215 | 2018-12-17 |
| 1043798937 | David Benjamin Blankenbeckley | Nurse Practitioner | 3 Nationwide Plz Ste 150, Columbus, OH 43215 | 2018-08-01 |
| 1891272795 | Tiffany Mindigo | Nurse Practitioner | 1335 Dublin Rd Ste 114e, Columbus, OH 43215 | 2018-07-24 |
| Find all providers in zip 43215 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615335 | Ijeoma Osigwe | Student in an Organized Health Care Education/Training Program | 380 Butterfly Gardens Dr Ste 4a, Columbus, OH 43215-7508 | 2020-09-29 |
| 1447865175 | Shelia Renee Powers | Student in an Organized Health Care Education/Training Program | 403 Jackson Cir, Columbus, MS 39705-1261 | 2020-09-10 |
| 1154934792 | Allison Lee Stillman | Student in an Organized Health Care Education/Training Program | 2033 Bedford Rd, Columbus, OH 43212-1012 | 2020-08-24 |
| 1801419155 | Adenike Eketunde | Student in an Organized Health Care Education/Training Program | 6500 Whittlesey Blvd Apt 418, Columbus, GA 31909-7270 | 2020-05-21 |
| 1841812245 | Marilyn Leif | Student in an Organized Health Care Education/Training Program | 395 W 12th Ave Ste 670, Columbus, OH 43210-1267 | 2020-05-08 |
| 1497375141 | Michaela Bertsch | Student in an Organized Health Care Education/Training Program | 15505 Zodiac St Ne, Columbus, MN 55025-9458 | 2020-04-23 |
| 1194345231 | Giancarlo Roberto Valiente | Student in an Organized Health Care Education/Training Program | 44 W Kelso Rd Apt 242b, Columbus, OH 43202-2031 | 2020-04-18 |
| 1538788146 | Colin Rogers | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-04-14 |
| 1396364519 | Damian Mercier | Student in an Organized Health Care Education/Training Program | Baptist Memorial Hospital- Gt 2520 5th Str N., Columbus, MS 39702 | 2020-04-09 |
| 1669091831 | Kaitlin Jessica Kavanagh | Student in an Organized Health Care Education/Training Program | 915 Olentangy River Rd # 2140, Columbus, OH 43212-3153 | 2020-04-08 |
| Find all providers in COLUMBUS | ||||
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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.