Active NPI
Launch Point Outreach
- Family Nurse Practitioner
- Merritt Island, FL
National Provider Identifier
1417878067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- LAUNCH POINT OUTREACH
- Practice address
- 375 S Courtenay Pkwy Ste 4a
Merritt Island, FL 32952-4868 - Phone
- (321) 378-4707
- Fax
- (321) 338-7062
- NPI assigned
- Jul 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shari Tillman, APRN
- Title
- Owner
- Phone
- (321) 378-4707
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
375 S Courtenay Pkwy Ste 4a
Merritt Island, FL 32952-4868
Mailing address
1510 Monte Carlo CT
Merritt Island, FL 32952-5666
Phone (321) 378-4707
National Provider Directory
National Provider DirectoryLocations
375 S Courtenay Pkwy
Ste 4A
Merritt Island, FL 32952
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Merritt Island, FL
- NPI 1568080422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784592000000",
"number": "1417878067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 MONTE CARLO CT",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329525666",
"telephone_number": "321-378-4707",
"fax_number": "321-338-7062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 S COURTENAY PKWY STE 4A",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329524868",
"telephone_number": "321-378-4707",
"fax_number": "321-338-7062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAUNCH POINT OUTREACH",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-21",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A",
"authorized_official_last_name": "TILLMAN",
"authorized_official_first_name": "SHARI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "321-378-4707",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merritt Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.