KIMBERLY LUTTRELL (NPI# 1790323731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790323731 |
| Entity Type | Individual |
| Full Name | KIMBERLY LUTTRELL |
| Credential | AGPCNP |
| Practice Address |
83 White Oak School Rd Liberty KY 42539-6180 |
| Practice Telephone | 8594811375 |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
3014084 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
83 WHITE OAK SCHOOL RD |
| City | LIBERTY |
| State | KY |
| Zip Code | 42539-6180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710547211 | Adult Day Health, Inc. | Clinic/Center | 39 Hwy 49, Liberty, KY 42539 | 2019-06-17 |
| 1144521303 | David Antonio Medina | Chiropractor | 69 Hustonville St., Liberty, KY 42539 | 2010-11-04 |
| 1356677694 | Masata, Inc. | Community/Behavioral Health | 549 Middleburg St., Liberty, KY 42539 | 2009-10-21 |
| 1174798078 | Dr. Michele Beeler, D.m.d., Pllc | Dentist | 650 Whipp Avenue, Liberty, KY 42539 | 2008-04-23 |
| 1134314230 | Cundiff Family Chiropractic, Psc | Chiropractor | 256 N. Wallace Wilkinson Blvd., Liberty, KY 42539 | 2007-09-11 |
| 1770782633 | Lake Cumberland District Health | Public Health or Welfare | 2834 S. Us 127, Liberty, KY 42539 | 2007-07-12 |
| 1568596286 | Back and Body Chiropractic Center Inc. | Chiropractor | 69 Hustonville Street, Liberty, KY 42539 | 2007-03-15 |
| 1497890545 | Lake Cumberland District Health Department | Public Health or Welfare | 199 Adams Street, Liberty, KY 42539 | 2007-02-20 |
| 1891836581 | Stanford Family Medicine & Obstetrics Psc | Legal Medicine | 19 Abes Plaza, Old Hustonville Rd, Liberty, KY 42539 | 2007-02-08 |
| 1740331537 | Sheila Ann Ping | Speech-Language Pathologist | 7235 Thomas Ridge Road, Liberty, KY 42539 | 2007-01-16 |
| Find all providers in zip 42539 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669034781 | Kayla Marie Strother | Nurse Practitioner | 740 S Limestone Ste L304, Lexington, KY 40536-0284 | 2019-06-29 |
| 1558887703 | Tabitha Ann Knight | Nurse Practitioner | 2401 Parterre Pl, Lexington, KY 40504-1686 | 2017-08-18 |
| 1245764521 | Donna Gaye Waldie | Nurse Practitioner | 345 Windsong Dr, Hawesville, KY 42348-6703 | 2017-04-13 |
| 1417330747 | Bethann Nevius | Nurse Practitioner | 444 Marks Ln, Bardstown, KY 40004-9292 | 2015-07-06 |
| 1164813838 | Molly Sullivan Bylsma | Nurse Practitioner | 121 College St., Smiths Grove, KY 42171 | 2015-02-16 |
| 1720384522 | Ruth Gay Lawton | Nurse Practitioner | 1431 Hepburn Ave Apt 1, Louisville, KY 40204-1652 | 2011-01-27 |
| 1184890535 | Geriatric Nurse Practitioner Services, LLC | Nurse Practitioner | 6652 Waterford Pl, Owensboro, KY 42303-9235 | 2008-05-06 |
| 1710067848 | Linda Ann Mcnamara | Nurse Practitioner | 4674 Ironbridge Dr, Lexington, KY 40515-5040 | 2006-10-16 |
| 1417567918 | Orthoregenerative Institute | Nurse Practitioner | 701 Executive Park, Louisville, KY 40207 | 2020-08-09 |
| 1891303368 | 1025 Health, LLC | Nurse Practitioner | 110 Hardin Ln, Somerset, KY 42503-3818 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
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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.