Individual provider Active NPI

Teresa L Tullos, ARNP-C

  • Registered Nurse
  • Tallahassee, FL
National Provider Identifier
1306820196
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
ARNP738322 Issued in FL
Practice address
1405 Centerville Rd
Ste 4200
Tallahassee, FL 32308-4655
Phone
(850) 877-3549
NPI assigned
Dec 5, 2005
Last updated
Apr 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X ARNP738322 FL Primary

Addresses

Primary practice location

1405 Centerville Rd
Ste 4200
Tallahassee, FL 32308-4655

Mailing address

1405 Centerville Rd
Ste 4200
Tallahassee, FL 32308-4655
Phone (850) 877-3549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP738322FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1306820196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 CENTERVILLE RD",
            "address_2": "STE 4200",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084655",
            "telephone_number": "850-877-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 CENTERVILLE RD",
            "address_2": "STE 4200",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084655",
            "telephone_number": "850-877-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLOS",
        "first_name": "TERESA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "ARNP738322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.