Active NPI
Meredith Quinn Tuttle, MSN, FNP-C
- Family Nurse Practitioner
- West Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 23586
- Practice address
- 400 West Campus Drive
West Haven, CT 06516 - Phone
- (703) 346-0699
- NPI assigned
- Aug 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 23586 | CA | Primary |
Addresses
Primary practice location
400 West Campus Drive
West Haven, CT 06516
Mailing address
4773 Raven Run
Broomfield, CO 80023-4636
Phone (703) 346-0699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of San Mateo
Practice addresses (Care Compare)
199 Churchill Ave
Woodside, CA 94062-1151
Phone (650) 573-2222
37 Clinton St
Redwood City, CA 94062-1595
Phone (650) 573-2222
400 Edmonds Rd
Redwood City, CA 94062-3803
Phone (650) 573-2222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Mateo | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients |
Locations
2710 Middlefield Rd
Redwood City, CA 94063
Phone (650) 364-6010
200 James Ave
#Teen
Redwood City, CA 94062
222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222
Interoperability endpoints
- mtuttle19620@smch.direct-ci.com
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1679642326
-
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1831268580
-
- Community/Behavioral Health Agency
- Redwood City, CA
- NPI 1528432481
-
- Multi-Specialty Clinic/Center
- Redwood City, CA
- NPI 1871529073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377561600000",
"number": "1477987352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4773 RAVEN RUN",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800234636",
"telephone_number": "703-346-0699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 WEST CAMPUS DRIVE",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "06516",
"telephone_number": "703-346-0699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUTTLE",
"first_name": "MEREDITH",
"middle_name": "QUINN",
"credential": "MSN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-27",
"last_updated": "2013-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "23586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.