BRANDON LUTTRELL (NPI# 1457742017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457742017 |
| Entity Type | Individual |
| Full Name | BRANDON LUTTRELL |
| Practice Address |
6640 Iola Ave Lubbock TX 79424-7845 |
| Mailing Address |
4602 100th St Lubbock TX 79424-7319 |
| Practice Telephone | 8067978099 |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-02-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1167560 | TX | Other Service Providers |
| Street Address |
6640 IOLA AVE |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79424-7845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629372610 | J F Heritage LLC | Skilled Nursing Facility | 6640 Iola Ave, Lubbock, TX 79424-7845 | 2011-01-05 |
| 1386126407 | Ghia Prado | Physical Therapist | 6640 Iola Ave, Lubbock, TX 79424-7845 | 2018-09-05 |
| 1659852903 | Katherine Jo Fowler | Speech-Language Pathologist | 6640 Iola Ave, Lubbock, TX 79424-7845 | 2018-08-24 |
| 1679054852 | Kaylee Dawn Swope | Speech-Language Pathologist | 6640 Iola Ave, Lubbock, TX 79424-7845 | 2018-08-24 |
| 1730539495 | Jacquelyn Smith | Occupational Therapist | 6640 Iola Ave, Lubbock, TX 79424-7845 | 2016-06-14 |
| 1548616006 | Corrina Leigh Munoz | Physical Therapist | 6640 Iola Ave, Lubbock, TX 79424-7845 | 2016-05-13 |
| 1013377050 | Jan Allison Brinkley | Occupational Therapy Assistant | 6640 Iola Ave, Lubbock, TX 79424-7845 | 2016-03-03 |
| 1235500505 | Arturo Valles | Physical Therapist | 6640 Iola Ave, Lubbock, TX 79424-7845 | 2015-10-13 |
| 1750750865 | Ben Wright | Occupational Therapist | 6640 Iola Ave, Lubbock, TX 79424-7845 | 2015-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158121 | West Texas H.a.n.d. Pllc | Surgery | 5613 114th St, Lubbock, TX 79424 | 2020-09-09 |
| 1811519044 | H-e-b, Lp | Clinical Medical Laboratory | 4405 114th Street, Lubbock, TX 79424 | 2020-05-11 |
| 1184245573 | Jim Lee Lowrance | Chiropractor | 5152 69th Suite 101, Suite 101 Box #2, Lubbock, TX 79424 | 2020-04-27 |
| 1134787377 | April Denise Gardea | Speech-Language Pathologist | 6502 Slide Road Suite 204, Lubbock, TX 79424 | 2019-06-03 |
| 1215590658 | April Dawn Fortner | Counselor | 7617 86th St., Lubbock, TX 79424 | 2019-04-22 |
| 1427514561 | Thornhill Healthcare II, Inc. | Pharmacy | 6823 82nd St, Suite 600, Lubbock, TX 79424 | 2019-02-13 |
| 1174001358 | Emily Cowell | Technician, Other | 6102 82nd St Ste 10, Lubbock, TX 79424 | 2018-07-31 |
| 1043718786 | Edward Murphy | Pharmacist | 8702 Toledo Ave, Lubbock, TX 79424 | 2018-01-29 |
| 1013434364 | Yung Ling Tsai | Specialist/Technologist | 4707 116th Street, Lubbock, TX 79424 | 2017-08-28 |
| 1285187237 | Wter Quaker, Lp | Clinic/Center | 10205 Quaker Ave, Lubbock, TX 79424 | 2016-07-26 |
| Find all providers in zip 79424 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699399675 | Hannah Stewart | Specialist | 2202 93rd St, Lubbock, TX 79423-4338 | 2020-06-04 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| 1194987404 | Cheryl M Tyler Md Pa | Specialist | 3626 50th St, Lubbock, TX 79413-3994 | 2008-06-27 |
| 1912173345 | Senior Medical Solutions, LLC | Specialist | 3518 26th St, Lubbock, TX 79410-2026 | 2008-05-06 |
| 1407031388 | Valeri Gail Gatlin | Specialist | 5214 70th St, Lubbock, TX 79424-2018 | 2008-01-09 |
| 1275714479 | William A Shaver, Md Pa | Specialist | 2405 Broadway, Lubbock, TX 79401-2918 | 2007-11-16 |
| 1558482471 | Christine Aronoff M.d. P.a. | Specialist | 7727 Quaker Ave, Lubbock, TX 79424-3361 | 2007-04-02 |
| 1003950577 | Windy Hills Therapy, Inc. | Specialist | 6921 Armadillo Rd, Lubbock, TX 79407-8045 | 2007-02-17 |
| 1467599613 | Robert J Mamlok | Specialist | 5424 19th St, Suite #300, Lubbock, TX 79407-2162 | 2007-01-30 |
| 1548339310 | Greg A. Nesteby | Specialist | 4433 34th St, Lubbock, TX 79410-2416 | 2006-11-07 |
| Find all providers in LUBBOCK | ||||
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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.