Megan Burns Tantillo, DNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10163 Issued in CT

Practice address

1051 Farmington Ave Unit a-2
Farmington, CT 06032-1572

Phone

(860) 940-0900

Fax

(860) 253-2898

NPI assigned

May 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Megan Ann Burns Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 8, 2023 through Dec 8, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Holistic Health Code

  • Multi-Specialty Clinic/Center
  • Farmington, CT
  • NPI 1093609893
  NPD

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1386201606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 FARMINGTON AVE UNIT A-2",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321572",
            "telephone_number": "860-940-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 FARMINGTON AVE UNIT A-2",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321572",
            "telephone_number": "860-940-0900",
            "fax_number": "860-253-2898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "639 Park Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061073443",
            "country_code": "US",
            "telephone_number": "860-677-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANTILLO",
        "first_name": "MEGAN",
        "middle_name": "BURNS",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "124970",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "10163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "BURNS",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "DNP, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Tan, DMD
• Wan Ying Tan, MD
• Michelle Tang
• Daniel Tannenbaum, PT
• Susan H Tannenbaum, MD
• Jason M Tanzer, D.M.D.
• Dyanne M Tappin, MD
• Hagop Tashjian, MD
• Pamela Taxel, MD
• Srishti Tayal

• Family Nurse Practitioner in Farmington, CT
• Providers in Farmington, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.