HEIDI RENEE LUTZ (NPI# 1417388083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417388083 |
| Entity Type | Individual |
| Full Name | HEIDI RENEE LUTZ |
| Credential | PHD, CRNP, FNP-C |
| Practice Address |
954 Isabel Dr Lebanon PA 17042-7482 |
| Mailing Address |
2200 Dover Rd Harrisburg PA 17112-1002 |
| Practice Telephone | 7173761180 |
| Mailing Telephone | 7176572111 |
| Mailing Fax Number | 7176570110 |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2020-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP013443 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2200 Dover Rd, Harrisburg, PA 171121002 | 7176572111 | 7176570110 |
| Street Address |
954 ISABEL DR |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-7482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164414678 | David Paul Deysher | Internal Medicine | 954 Isabel Dr, Lebanon, PA 17042-7482 | 2005-08-19 |
| 1972049609 | Karen Lee Gordon | Nurse Practitioner | 954 Isabel Dr, Lebanon, PA 17042-7482 | 2017-01-19 |
| 1578014007 | Wellspan Medical Group | Internal Medicine | 954 Isabel Dr, Lebanon, PA 17042-7482 | 2016-10-19 |
| 1942631957 | Sylvia G. Oppong-antwi | Nurse Practitioner | 954 Isabel Dr, Lebanon, PA 17042-7482 | 2013-12-02 |
| 1740411933 | Rafeeq Ahmed | Internal Medicine | 954 Isabel Dr, Lebanon, PA 17042-7482 | 2009-08-05 |
| 1811197817 | Rehan Ahmad Khan | Internal Medicine | 954 Isabel Dr, Lebanon, PA 17042-7482 | 2007-07-19 |
| 1154537702 | Iryna Sophia Hepburn | Internal Medicine | 954 Isabel Dr, Lebanon, PA 17042-7482 | 2007-05-14 |
| 1053421073 | Robert R. Schade | Internal Medicine | 954 Isabel Dr, Lebanon, PA 17042-7482 | 2006-08-30 |
| 1669440186 | Premnath Narahari | Internal Medicine | 954 Isabel Dr, Lebanon, PA 17042-7482 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912170 | Kaley Elizabeth Barrett | Nurse Practitioner | 418 Edgewood Dr, Lebanon, PA 17042-9109 | 2020-11-04 |
| 1932716420 | Jessica Erb | Nurse Practitioner | 804 Holly Ln, Lebanon, PA 17042-9028 | 2020-09-28 |
| 1922619527 | Tammy Lynn Whitt | Nurse Practitioner | 961 Poor Farm Rd, Lebanon, VA 24266-7097 | 2020-08-17 |
| 1538777529 | Shenia Diane Johnson | Nurse Practitioner | 71 S. Flannagan Ave., Lebanon, VA 24266-2426 | 2020-07-16 |
| 1275158164 | Kelly Mcdaniel | Nurse Practitioner | 288 Rolling Meadows Rd, Lebanon, VA 24266-5870 | 2020-06-16 |
| 1609498955 | Kelsey Jones | Nurse Practitioner | 1412 Nathaniel Dr, Lebanon, MO 65536-8906 | 2020-05-09 |
| 1124657887 | Shelly Prather | Nurse Practitioner | 350 Wheeler St, Lebanon, OR 97355-4349 | 2020-04-05 |
| 1205479458 | Natasha Denney Arentz | Nurse Practitioner | 5787 Oh-63, Lebanon, OH 45036 | 2019-10-21 |
| 1720638661 | Advanced Practice Primary Care, Pllc | Nurse Practitioner | 2336 Coal Tipple Hollow, Lebanon, VA 24266 | 2019-09-12 |
| 1821642430 | Jill Montgomery Major | Nurse Practitioner | 135 Knights Brg, Lebanon, TN 37090-1410 | 2019-07-31 |
| Find all providers in LEBANON | ||||
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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.