Mylinh Seagull, NP

Individual provider Active NPI Nurse Practitioner · Tallahassee, FL

NPI 1083179030 · NPPES record last updated Jul 28, 2023

Key facts

NPI
1083179030
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
143903 (TX)
Practice address
10005 Leafwood Dr
Tallahassee, FL 32312-5113
Phone
(561) 350-1701
NPI assigned
Feb 4, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 20

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DCS Medical PA (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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
143903TXMDNurse Practitioner
61225770WAMDNurse Practitioner
RN3402842FLMDFamily Nurse Practitioner

Practice roles

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

Specialties & licenses

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

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

TypeEndpointUseAffiliation
CONNECT URL www.thinktelehealth.org Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 28, 2023.

{
    "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

All providers in Tallahassee, FL · Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.