REBEKAH LUTKOFF (NPI# 1093190639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093190639 |
| Entity Type | Individual |
| Full Name | REBEKAH LUTKOFF |
| Credential | PNP |
| Practice Address |
155 Lawn Ave Buffalo NY 14207-1816 |
| Practice Telephone | 7168752904 |
| Practice Fax Number | 7168756717 |
| Mailing Telephone | 7168752904 |
| Mailing Fax Number | 7168756717 |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
382555 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
155 LAWN AVE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14207-1816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023012853 | Mary A Rykert-wolf | Family Medicine | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2005-06-09 |
| 1093340465 | Anna Marszalkowski | Nurse Practitioner | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2020-03-06 |
| 1821629510 | Joseph Mathis Quackenbush | Physician Assistant | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2020-01-31 |
| 1669026365 | Kerisa Lynne Muffoletto | Dental Hygienist | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2019-07-31 |
| 1073166815 | Laura Myers | Social Worker | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2019-07-22 |
| 1699328690 | Jessica Mae Matott | Nurse Practitioner | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2019-07-18 |
| 1780246496 | Jennifer Kaye Buyea | Family Medicine | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2019-07-02 |
| 1104388313 | Clare Malachowski | Social Worker | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2019-04-05 |
| 1396203584 | Luanne Patterson | Nurse Practitioner | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2019-03-06 |
| 1245704352 | Madeline Cecelia Mcmorrow | Nurse Practitioner | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2019-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063981595 | Shannon Nicole Johns | Doula | 191 Rebecca Park, Buffalo, NY 14207 | 2018-11-14 |
| 1225567654 | Sky Blue Transportation | Taxi | 276 Esser Avenue, Buffalo, NY 14207 | 2017-06-08 |
| 1497171706 | Armida Orozco | Pathology | 219 Brynt St, Woman & Children Hosp of Buffalo, Buffalo, NY 14207 | 2014-03-11 |
| 1508208828 | Kyla Rae Marte | Obstetrics & Gynecology | 155 Lawn Ave Ste 100, Buffalo, NY 14207 | 2013-07-28 |
| 1407107121 | Britney Sade Caldwell | Licensed Practical Nurse | 84 Chadduck Ave, Buffalo, NY 14207 | 2012-09-20 |
| 1275862088 | Aspire Family Dental, Pllc | Dentist | 476 Hertel Avenue, Buffalo, NY 14207 | 2009-12-08 |
| 1982834503 | Rebecca Lynn Blenski | Pharmacist | 801 Tonawanda Street, Buffalo, NY 14207 | 2009-07-16 |
| 1790920478 | Aspire Family Dental, Pllc | Dentist | 484 Ontario Street, Buffalo, NY 14207 | 2008-12-09 |
| 1447417746 | Michele Marie Taschetta | Licensed Practical Nurse | 79 Eckhert St, Buffalo, NY 14207 | 2008-05-22 |
| 1184831844 | Anacleto Jr Apostol Mangaser | Preventive Medicine | 1 Sheridan Drive, Dupont Yerkes Medical Dept, Buffalo, NY 14207 | 2007-05-16 |
| Find all providers in zip 14207 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629384953 | Tiffany Nicole Fabiano | Nurse Practitioner | 696 Lafayette Ave, Buffalo, NY 14222-1436 | 2010-08-24 |
| 1265690788 | Jan Robinson | Nurse Practitioner | 24 Westminster Ave, Buffalo, NY 14215-1614 | 2008-05-30 |
| 1023112042 | Beverly Ann Hornung | Nurse Practitioner | 1500 Broadway St, Buffalo, NY 14212-1845 | 2006-09-11 |
| 1013946912 | Rachel Spector | Nurse Practitioner | 430 Southside Pkwy, Southside Elementary Clinic, Buffalo, NY 14210-2220 | 2006-07-02 |
| 1285682617 | Susan M Trzaska | Nurse Practitioner | 237 Linwood Ave, Buffalo, NY 14209-2009 | 2006-05-05 |
| 1760430318 | Margaret Ellen Crotty Kelly | Nurse Practitioner | 936 Delaware Ave, Buffalo, NY 14209-1804 | 2006-05-05 |
| 1306803168 | Margo Villagomez | Nurse Practitioner | 300 S Elmwood Ave, Buffalo, NY 14201-2361 | 2006-04-27 |
| 1871558478 | Denise Marie Piechowski | Nurse Practitioner | 1095 Jefferson Ave, Makowski School-based Health Center, Buffalo, NY 14208-2414 | 2006-04-18 |
| 1801885074 | Patricia L Dyer | Nurse Practitioner | 1520 E Delavan Ave, Buffalo, NY 14215-3946 | 2005-10-19 |
| 1750865655 | Mary Caitlin Hayes | Nurse Practitioner | 818 Ellicott St, Buffalo, NY 14203-1021 | 2018-09-18 |
| Find all providers in BUFFALO | ||||
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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.