Marisa Elizabeth Pereira Tully

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

2513 24TH St
San Francisco, CA 94110-3556

Phone

(415) 695-1263

NPI assigned

Aug 11, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marisa Elizabeth Pereira Tully Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1265664148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 ARLINGTON DR",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 24TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103556",
            "telephone_number": "415-695-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLY",
        "first_name": "MARISA",
        "middle_name": "ELIZABETH PEREIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "PEREIRA TULLY",
            "middle_name": "ELIZABETH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tulips Speech Therapy
• Tulips Speech Therapy Inc.
• Tara Rooney Tullis, CCC-SLP
• Kathleen Tulloss, D.C.
• Laura Dyann Tully, M.D.
• Jacqueline Peterson Tulsky, MD
• Jade Tumazi, L.E.
• Kenneth Tumbaga
• Sabrina Y Tumelson, PMHNP-BC
• Swetha Tummala, MD

• Counselor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.