Healthcare Provider Details

I. General information

NPI: 1225525488
Provider Name (Legal Business Name): CHRISTIN L AUCUTT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2018
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 1ST AVE SE STE 201
CEDAR RAPIDS IA
52402-5474
US

IV. Provider business mailing address

PO BOX 1216
CEDAR RAPIDS IA
52406-1216
US

V. Phone/Fax

Practice location:
  • Phone: 319-777-3205
  • Fax: 319-249-2830
Mailing address:
  • Phone: 319-398-6011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA151002
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: