MRS. REBECCA MARIE LUTZ (NPI# 1912082199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912082199 |
| Entity Type | Individual |
| Full Name | MRS. REBECCA MARIE LUTZ |
| Credential | ARNP, FNP-BC |
| Practice Address |
4202 E Fowler Ave Stop Shs100 Tampa FL 33620 |
| Mailing Address |
Po Box 917770 Orlando FL 32891-0001 |
| Practice Telephone | 8139742331 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2018-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP1230222 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 100798200 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | 29AEX | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4202 E Fowler Ave Stop Shs100, Tampa, FL 33620 | 8139742331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235642323 | Rebecca Marlene Lutz | Counselor | 150 Enterprise Dr, Vassar, MI 48768-9584 | 2017-11-10 |
| 1144626144 | Rebecca Jeanne Lutz | Counselor | 2505 W Beryl Ave, Phoenix, AZ 85021-1641 | 2014-11-18 |
| 1518050038 | Rebecca Sue Lutz | Pharmacist | 1843 Johnson Ave Nw, Cedar Rapids, IA 52405-4752 | 2006-10-02 |
| Street Address |
4202 E FOWLER AVE STOP SHS100 |
| City | TAMPA |
| State | FL |
| Zip Code | 33620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891789020 | Rodney A. Friend | Preventive Medicine | 4202 E Fowler Ave Stop Shs100, Tampa, FL 33620-6750 | 2005-09-02 |
| 1215303805 | Kaitlyn Rechenberg | Nurse Practitioner | 4202 E Fowler Ave Stop Shs100, Tampa, FL 33620 | 2015-08-18 |
| 1689951097 | Teresa Nuss Gore | Nurse Practitioner | 4202 E Fowler Ave Stop Shs100, Tampa, FL 33620-5349 | 2011-11-14 |
| 1104088053 | Teresa Ann Dowdy | Internal Medicine | 4202 E Fowler Ave Stop Shs100, Tampa, FL 33620-6750 | 2008-07-01 |
| 1306956206 | Wendy Weiss | Family Medicine | 4202 E Fowler Ave Stop Shs100, Tampa, FL 33620 | 2006-08-30 |
| 1992721682 | Vernon Herbert Bartley | Surgery | 4202 E Fowler Ave Stop Shs100, University of S.florida, Tampa, FL 33620-6750 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689145542 | Ramon Ramirez | Specialist/Technologist | 4202 E Fowler Ave., Ath 100, Tampa, FL 33620 | 2018-12-17 |
| 1093818908 | Theresa Hnath-chisolm | Audiologist | 4202 E Fowler Aveune, University of South Florida PCd 1017, Tampa, FL 33620 | 2006-09-06 |
| 1689170581 | Jessica R Mabry | Speech-Language Pathologist | 4202 E Fowler Ave, Tampa, FL 33620 | 2018-04-01 |
| 1366990111 | Megan Sears | Specialist/Technologist | 4202 E Fowler Ave, Tampa, FL 33620 | 2016-09-21 |
| 1134520158 | Denyse Sierra | Speech-Language Pathologist | 4202 E Fowler Ave, Pcd1017, Tampa, FL 33620 | 2014-09-09 |
| 1245527738 | Kelli Gorajec | Speech-Language Pathologist | 4202 E Fowler Ave Stop PCd1017, Tampa, FL 33620 | 2011-07-05 |
| 1477727865 | Adrienne Bruccoleri | Nurse Practitioner | 4202 E Fowler Ave, Tampa, FL 33620 | 2008-04-16 |
| 1487843637 | Jane Bradley Smart | Speech-Language Pathologist | 4202 E Fowler Ave Stop PCd1017, Tampa, FL 33620 | 2007-10-23 |
| 1427128289 | Swapna Mukherjea | Psychiatry & Neurology | 4202 E Fowler Ave, Usf Counseling Center Svc 2124, Tampa, FL 33620 | 2006-11-09 |
| 1700893591 | Patricia Irene Carr | Audiologist | 4202 E Fowler Ave, Pcd1017, Tampa, FL 33620 | 2006-08-02 |
| Find all providers in zip 33620 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153278 | Desirae A. Segura | Nurse Practitioner | 8218 Marauder Dr, Tampa, FL 33621-1426 | 2020-10-29 |
| 1750980173 | Vanessa P Criales | Nurse Practitioner | 4708 Pebblepointe Pl, Tampa, FL 33634-6271 | 2020-10-19 |
| 1023616778 | Latoya Tanique Sinclair | Nurse Practitioner | 4121 E Busch Blvd Apt 804, Tampa, FL 33617-5970 | 2020-10-14 |
| 1801403068 | Krystal G Solie | Nurse Practitioner | 14105 Mccormick Dr, Tampa, FL 33626-3019 | 2020-09-30 |
| 1578179784 | Brooke Sliman | Nurse Practitioner | 403 S Albany Ave Unit 2, Tampa, FL 33606-2180 | 2020-09-22 |
| 1538773791 | Cindy Irene Gearheart | Nurse Practitioner | 7712 W Powhatan Ave, Tampa, FL 33615-4133 | 2020-09-04 |
| 1447864921 | Kimberly Marie Hymiller | Nurse Practitioner | 4600 N Habana Ave Ste 13, Tampa, FL 33614-7123 | 2020-09-02 |
| 1508479841 | Andrea Mole | Nurse Practitioner | 5035 E Busch Blvd Ste 1a&1b, Tampa, FL 33617-5310 | 2020-08-26 |
| 1467065896 | Cho Yee Mon Maung | Nurse Practitioner | 2606 W Waters Ave, Tampa, FL 33614-1835 | 2020-08-25 |
| 1235741141 | Luis V Amat | Nurse Practitioner | 2301 W Clifton St, Tampa, FL 33603-1027 | 2020-08-21 |
| Find all providers in TAMPA | ||||
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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.