Terry Rae Dulle, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9470158 Issued in FL

Practice address

6274 33Rd Ave N
St Petersburg, FL 33710-2406

Phone

(715) 271-3046

NPI assigned

Apr 24, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1023506201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W GORDON ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863426",
            "telephone_number": "706-646-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6274 33RD AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337102406",
            "telephone_number": "715-271-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULLE",
        "first_name": "TERRY",
        "middle_name": "RAE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9470158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PINELLAS COUNTY VOTER ID CARD",
            "identifier": "124995088",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DRIVERS LICENSE",
            "identifier": "D400816605850",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN MULTISTATE LICENSE",
            "identifier": "9470158",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Renee Duerr, BCABA
• D Craig Duerson, DMD
• Carla M. Duff, ARNP
• Megan N. Duhon, DDS
• Joia Dukes, PHARMD
• Juan Antonio Dumois III, M.D.
• Jamila Glenda Dunbar
• Irielle Duncan
• George Roger Dunkelberger, D.O.
• Brenda Dunlap, ARNP

• Registered Nurse in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.