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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210218000124 | TX | Practitioner - Nurse Practitioner | 8325477490 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143903 | TX | MD | Nurse Practitioner |
| 61225770 | WA | MD | Nurse Practitioner |
| RN3402842 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| QV Urgent Care TX PLLC | Current |
Accepting new patients | |
| DCS Medical PA | Current |
Accepting new patients | |
| QV Urgent Care TX PLLC | Current |
Accepting new patients | |
| DCS Medical PA | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.thinktelehealth.org | Direct |
NPI Registry JSON
{
"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
- Faith Scriven
- Kathryn Scrivener
- Shawn Patrice Seabrook
- Kinsey Christine Seacord
- Patricia Seagraves
- Molly Seal
- Kristen Nicole Seaquist
- Brittany Sears
- Cary Sears
- Ira John Seasholtz II
All providers in Tallahassee, FL · Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.