National Provider Identifier Database

TIFFANY D LUTTRELL, CRNA – NPI #1982902888
Nurse Anesthetist, Certified Registered

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.


Contact Information

TIFFANY D LUTTRELL, CRNA
800 E DAWSON ST
TYLER, TX75701
Phone: 903-606-4522
Fax:
Website:
Specialty Taxonomy Code
* Nurse Anesthetist, Certified Registered 367500000X
Registered Nurse 163W00000X

* Indicates primary specialty

NPI Profile & details for TIFFANY D LUTTRELL

NPI Number 1982902888
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 03/02/2011
Last updated 11/22/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • TX License #: 652703
  • TX License #: AP120053
  • TX Medicaid: 280097104
  • TX Medicaid: 280097105
  • TX Other: 8512UE BCBS
  • TX Other: 8512UE BCBS BLUE
  • TX Other: P01196965 MCRR
  • TX Other: 291790YN3X MEDICARE
  • TX Other: 291790YQ8A MEDICARE
  • TX Other: P01877246 MEDICARE RAIL ROAD
  • TX Other: P01196965 RAIL ROAD
  • TX Other: 75-0818167-015 TRICARE
  • TX Other: 75-2771569-008 TRICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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