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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA R UTT, PMHNP

Active Sole Proprietor

LISA R UTT, PMHNP is a Child & Adolescent Psychiatric Nurse healthcare provider located in PRAIRIE VILLAGE, Kansas. NPI 1154189553 is currently active in the NPPES registry. Verify at CMS.

Child & Adolescent Psychiatric Nurse · PRAIRIE VILLAGE, KS

Registration Details

NPI Number
1154189553
Provider Type
Individual
Gender
Female
NPI Issued
Mar 11, 2024 (2.3969080608923 yrs)
Last Updated
Sep 15, 2025
Licenses
14-7953-071 (KS)
14-79593-071 (KS)
Sole Proprietor
Yes

Practice Information

Address
3965 W 83RD ST STE 102
PRAIRIE VILLAGE, KS, 662085308
Browse KS providers · Browse ZIP 66208
Phone
9132068885
Primary Specialty
Child & Adolescent Psychiatric Nurse
163WP0808X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.