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JACIE LEANN LUTKE
NPI 1114508371
Student in an Organized Health Care Education/Training Program in Grand Rapids, MI

Active since April 19, 2021
3300 36TH ST SE, GRAND RAPIDS, MI 49512(231) 429-2228 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacie Leann Lutke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACIE LEANN LUTKE (NPI 1114508371) is an individual student in an organized health care education/training program in Grand Rapids, Michigan and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1114508371
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACIE LEANN LUTKE
Location Address3300 36TH ST SEGrand Rapids, MI 49512-2810
Mailing Address10999 Stegman Forest Ct NeRockford, MI 49341-7642
Phone(231) 429-2228
Sole ProprietorNo
Enumeration DateApril 19, 2021
NPPES CertifiedApril 19, 2021
✔ NPI 1114508371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3300 36TH ST SE, Grand Rapids, MI 49512
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHERINE E. KUNNEN DNP, FNP-C, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MEGAN ELINOR JOHNSON BCBA
Behavior Analyst
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2810
MALINNA I MACK
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
ALEIGHA DROUGHN
Behavior Analyst
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MATTHEW JOHN MANNIKKO
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
CLARISSA LEE GREER
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MARGARET GRACE GILLICH
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
CATHERINE ROSE KUIPERS RN
Student in an Organized Health Care Education/Training Program
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacie Lutke's NPI number?

The NPI number for Jacie Lutke is 1114508371. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Where is Jacie Lutke located?

Jacie Lutke practices at 3300 36th St SE, Grand Rapids, MI 49512. The listed phone number is (231) 429-2228.

What is Jacie Lutke's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacie Lutke was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.