Individual provider Active NPI

Mylinh Seagull, NP

  • Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1083179030
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
143903 Issued in TX
Practice address
10005 Leafwood Dr
Tallahassee, FL 32312-5113
Phone
(561) 350-1701
NPI assigned
Feb 4, 2019
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 61225770 WA
Nurse Practitioner 363L00000X RN3402842 FL
Family Nurse Practitioner 363LF0000X RN3402842 FL
Nurse Practitioner 363L00000X 143903 TX Primary

Addresses

Primary practice location

10005 Leafwood Dr
Tallahassee, FL 32312-5113

Mailing address

1726 Archer Dr
Sherman, TX 75092-7528
Phone (817) 381-9858

Other practice location 1

1726 Archer Dr
Sherman, TX 75092-7528
Phone (817) 381-9858

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.thinktelehealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210218000124 TX Practitioner - Nurse Practitioner 8325477490 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DCS Medical PAGroup PAC ID 0042507600, 155 clinicians

Practice addresses (Care Compare)

2140 N State Hwy 121
Bonham, TX 75418-2346
Phone (430) 703-1550

3201 University Dr E
135 Integrity Urgent Care
Bryan, TX 77802-3481
Phone (979) 703-1832

3701 Fairway Blvd
Suite 114
Wichita Falls, TX 76310-1038
Phone (940) 557-5320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN3402842FLMDNurse Practitioner
143903TXMDNurse Practitioner
61225770WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DCS Medical PA CurrentSince Jan 13, 2025 Accepting new patients
DCS Medical PA CurrentSince Jan 13, 2025 Accepting new patients
QV Urgent Care TX PLLC CurrentSince Aug 11, 2023 Accepting new patients
QV Urgent Care TX PLLC CurrentSince Aug 11, 2023 Accepting new patients
DCS Medical PA Past Accepting new patients

Locations

2140 N State Highway 121
Bonham, TX 75418
Phone (430) 703-1550

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

1600 US Highway 79 S
Henderson, TX 75654
Phone (903) 657-9571

3701 Fairway Blvd
Ste 114
Wichita Falls, TX 76310
Phone (325) 701-9270

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1083179030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 ARCHER DR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927528",
            "telephone_number": "817-381-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10005 LEAFWOOD DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323125113",
            "telephone_number": "561-350-1701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1726 Archer Dr",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "TX",
            "postal_code": "750927528",
            "country_code": "US",
            "telephone_number": "817-381-9858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEAGULL",
        "first_name": "MYLINH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "61225770",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "RN3402842",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN3402842",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "143903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.thinktelehealth.org",
            "affiliation": "N",
            "endpointDescription": "business website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1726 Archer Dr",
            "city": "Sherman",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750927528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.