MADELINE ELAINE LUTTRELL PA-C NPI 1780922179

NPI Information

NPI: 1780922179
Provider Name: MADELINE ELAINE LUTTRELL, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
12605 E 16TH AVE
AURORA, CO
ZIP 80045
Phone: (303) 493-7000
Get Directions

Madeline Elaine Luttrell, PA-C is a medical physician assistant in Aurora, CO. Madeline Elaine Luttrell, PA-C NPI is 1780922179. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12605 E 16TH AVE
AURORA, CO
ZIP 80045-545
Phone: (303) 493-7000

The NPI 1780922179 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/21/2013 and was last updated on 10/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA.0005252	COLORADO	No
2	363A00000X	Physician Assistant		APA2185	OKLAHOMA	No
3	363A00000X	Physician Assistant		PA9107907	FLORIDA	No
4	363AM0700X	Physician Assistant	Medical	PA.0005252	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	200478630A	MEDICAID	OKLAHOMA
2	003155283A	MEDICAID	GEORGIA
3	013841400	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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