P Praxis·MD
● Active Type 1 · Individual

MRS. Tiffany Dawn Luttrell, CRNA

Nurse Anesthetist, Certified Registered·Tyler, TX· NPI 1982902888 · Enumerated 2011 · 15 years on NPI
Luttrell is 1 of 110 nurse anesthetist, certified registered providers in Tyler and 1 of 6676 in Texas.
NPI age
15 years
Enumerated 2011-03-02
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-11-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 6676 active nurse anesthetist, certified registered providers in Texas.

NPI age
15 years
↑ 2 yr above median (13 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
1
In the 35% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-03Enumerated in NPPES
2011 2026

Where they practice

Practice location
800 E Dawson St
Tyler, TX 75701
📞 9036064522
Mailing address
Po Box 841656
Dallas, TX 752841656
📞 9035315000

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2694 N Galloway Ave, Suite #501
Mesquite, TX 751506312
📞 9726812226fax 9726817838

Specialties

  • Nurse Anesthetist, Certified Registered Primary
    (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...
    TX license #AP120053 taxonomy 367500000X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    TX license #652703 taxonomy 163W00000X

Identifiers

TypeValueNotes
01 (TX) 291790YQ8A MEDICARE
01 (TX) 75-2771569-008 TRICARE
01 (TX) 8512UE BCBS
01 (TX) P01877246 MEDICARE RAIL ROAD
01 (TX) 75-0818167-015 TRICARE
05 (TX) 280097104
05 (TX) 280097105
01 (TX) P01196965 RAIL ROAD
01 (TX) 291790YN3X MEDICARE
01 (TX) 8512UE BCBS BLUE
01 (TX) P01196965 MCRR

Practice context

Part of a multi-provider practice. 321 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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