Michelle Rene' Tutt, ARPN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11005885 Issued in FL

Practice address

890 N Boundary Ave Ste 101
Deland, FL 32720-3173

Phone

(386) 873-4560

NPI assigned

Jan 28, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Gold Diagnostics Corp

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1346824554

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1609407766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 N BOUNDARY AVE STE 101",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203173",
            "telephone_number": "386-873-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 N BOUNDARY AVE STE 101",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203173",
            "telephone_number": "386-873-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTT",
        "first_name": "MICHELLE",
        "middle_name": "RENE'",
        "credential": "ARPN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF NURSING",
            "identifier": "APRN11005885",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tropical Brace and Limb, LLC
• Truchoice Home Health LLC
• Scott Allen Tucker, DC
• Nathan J Turnbull, M.D.
• Timothy Rex Turner
• Lauren Uddo, DC
• Kenessa Ugarte
• Josephine H Underhill, MED.,LMHC
• Alexsander Unger, M.D.
• University Center East Operating LLC

• Family Nurse Practitioner in Deland, FL
• Providers in Deland, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.