Active NPI
Erin Tullock, CNM
- Advanced Practice Midwife
- North Conway, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 230304
- Practice address
- 3073 White Mountain Hwy
North Conway, NH 03860-7101 - Phone
- (603) 356-9355
- Fax
- (603) 356-8843
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 230304 | MA | Primary |
Addresses
Primary practice location
3073 White Mountain Hwy
North Conway, NH 03860-7101
Mailing address
PO Box 2190
North Conway, NH 03860-2190
Phone (603) 356-9355
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0364631 | Medicaid | MA | |
| 30462788 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080228000452 | MA | Practitioner - Certified Nurse Midwife (CNM) | 3870581697 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mass General Brigham Medical Group Suburban Massachusetts Inc
Practice addresses (Care Compare)
2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Medical Group Suburban Massachusetts Inc | Current | Accepting new patients | |
| Neighborhealth Corporation | Current | Accepting new patients | |
| Brigham and Women'S Hospital | Current | Accepting new patients | |
| Internal Medical Associates-Ebnhc | Current | Accepting new patients | |
| Brigham & Womens Hospital, Inc. | Current | Accepting new patients | |
| Seacoast Affiliated Group Practice, Inc. | Past | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
10 Grove St
East Boston, MA 02128
Phone (617) 569-5800
2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000
399 Revolution Dr
Somerville, MA 02145
Phone (800) 856-1983
Interoperability endpoints
- tullock.erin.bwh@direct.partners.masshiway.net
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Newton, MA
- NPI 1538191218
MA
-
- Clinical Medical Laboratory
- South Weymouth, MA
- NPI 1699622134
-
- General Acute Care Hospital
- Boston, MA
- NPI 1093885816
-
- Clinic/Center
- Newburyport, MA
- NPI 1801892344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1508907320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2190",
"city": "NORTH CONWAY",
"state": "NH",
"postal_code": "038602190",
"telephone_number": "603-356-9355",
"fax_number": "603-356-8843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3073 WHITE MOUNTAIN HWY",
"city": "NORTH CONWAY",
"state": "NH",
"postal_code": "038607101",
"telephone_number": "603-356-9355",
"fax_number": "603-356-8843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TULLOCK",
"first_name": "ERIN",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MA",
"license": "230304",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0364631",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30462788",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Conway, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.