Individual provider Active NPI

Mary J Tuitoek

  • Family Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1184349060
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07221296 Issued in NC
Practice address
1905 Skibo Rd Ste 100
Fayetteville, NC 28314-0261
Phone
(910) 864-4357
Fax
(910) 221-0099
NPI assigned
Oct 4, 2022
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F07221296 NC Primary
Family Nurse Practitioner 363LF0000X F07221295 NC

Addresses

Primary practice location

1905 Skibo Rd Ste 100
Fayetteville, NC 28314-0261

Mailing address

1905 Skibo Rd Ste 100
Fayetteville, NC 28314-0261
Phone (910) 864-4357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20230114000036 NC Practitioner - Nurse Practitioner 8325419179 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07221295NCMDFamily Nurse Practitioner
F07221296NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Accu Reference Medical Lab, LLC Current Accepting new patients
Rapha Health System Inc CurrentSince Jan 16, 2023 Accepting new patients
Rapha Urgent Care PLLC CurrentSince Jan 16, 2022 Accepting new patients

Locations

1905 Skibo Rd
Fayetteville, NC 28314
Phone (910) 864-4357

1905 Skibo Rd
Ste 100
Fayetteville, NC 28314
Phone (910) 864-4357

1905 Skibo Rd
Ste 102
Fayetteville, NC 28314
Phone (910) 864-4357

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEJFDD/Endpoint/JEJFDD

Organizations & group practices 3

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": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1184349060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 SKIBO RD STE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140261",
            "telephone_number": "910-864-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 SKIBO RD STE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140261",
            "telephone_number": "910-864-4357",
            "fax_number": "910-221-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUITOEK",
        "first_name": "MARY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F07221296",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F07221295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.