Julie Tuttle, APN

Primary specialty

Neonatal Clinical Nurse SpecialistTaxonomy code 364SN0000X

License

209002854 Issued in IL

Practice address

530 NE Glen Oak Ave
Peoria, IL 61530

Phone

(309) 655-4971

NPI assigned

Nov 11, 2009

Last updated

Nov 11, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1467789511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7216 N MIRAMAR DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141715",
            "telephone_number": "309-655-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61530",
            "telephone_number": "309-655-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "JULIE",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SN0000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Neonatal",
            "state": "IL",
            "license": "209002854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramyashree Tummala, M.D.
• Heidi M Turcott, LCSW
• Nigel Patrick Turk, LCPC
• Cara Turnbull, APN
• Tuttle Chiropractic Inc.
• Justin Chaney Tuttle, D.C.
• Madison Tuttle
• Amanda L Twellman, CST
• Traci Jo Tylar, LPC
• Jonna Lynn Tyler, LCPC RPTS

• Clinical Nurse Specialist in Peoria, IL
• Providers in Peoria, IL by specialty
• Clinical Nurse Specialist in Illinois

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