Michelle E Tulla, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

ME120841 Issued in FL

Practice address

13820 Old Saint Augustine Rd Ste 101
Jacksonville, FL 32258-5424

Phone

(904) 260-2565

NPI assigned

Jun 29, 2007

Last updated

Sep 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Michelle E. Tulla Llauger Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michelle.tulla.1@22574.direct.athenahealth.com

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.

• Tru-Hormones

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
  • NPI 1083349047
  NPD Authorized official

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1386841674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13820 OLD SAINT AUGUSTINE RD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585424",
            "telephone_number": "904-260-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13820 OLD SAINT AUGUSTINE RD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585424",
            "telephone_number": "904-260-2565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Telford Dr",
            "address_purpose": "LOCATION",
            "city": "St Johns",
            "state": "FL",
            "postal_code": "322598218",
            "country_code": "US",
            "telephone_number": "787-423-7377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TULLA",
        "first_name": "MICHELLE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "17604",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME120841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "TULLA LLAUGER",
            "middle_name": "E.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Juvelyn Tuisa
• Michelle Tulang, MD
• Michael Shane Tulgetske, PA
• Dominique Tull
• Tori Nicole Tull
• James Tully, APRN
• Jessica Paige Tully
• Nagaraju Tummala, R.PH.
• Han Tun, MD
• Naw Zezawar Tun, RN

• Gynecology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.