Individual provider Active NPI

Debra Ann Tulanowski, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1013639194
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN.0200478 Issued in CO
Practice address
1650 Cochrane Cir Unit Meddac
Colorado Springs, CO 80913-4604
Phone
(609) 385-5573
NPI assigned
Sep 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN.0200478 CO Primary

Addresses

Primary practice location

1650 Cochrane Cir Unit Meddac
Colorado Springs, CO 80913-4604

Mailing address

1650 Cochrane Cir Unit Meddac
Colorado Springs, CO 80913-4604
Phone (609) 385-5573

Other practice location 1

Bldg. 3031
Indianahead Avenue
HSAG Humphreys, Gyeonggi-do 96271
KP
Phone (315) 737-1411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN.0200478COMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1013639194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR UNIT MEDDAC",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809134604",
            "telephone_number": "609-385-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR UNIT MEDDAC",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809134604",
            "telephone_number": "609-385-5573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Bldg. 3031",
            "address_2": "Indianahead Avenue",
            "address_purpose": "LOCATION",
            "city": "HSAG Humphreys",
            "state": "Gyeonggi-do",
            "postal_code": "96271",
            "country_code": "KP",
            "telephone_number": "315-737-1411",
            "country_name": "Korea, Democratic People's Republic of",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "TULANOWSKI",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "RN.0200478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.