Individual provider Active NPI

Adrian Elaine Tuttle, FNP

  • Family Nurse Practitioner
  • Indian Harbour Beach, FL
National Provider Identifier
1609503572
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11020584 Issued in FL
Practice address
890 E Eau Gallie Blvd
Indian Harbour Beach, FL 32937-4903
Phone
(321) 722-7556
NPI assigned
Aug 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11020584 FL Primary

Addresses

Primary practice location

890 E Eau Gallie Blvd
Indian Harbour Beach, FL 32937-4903

Mailing address

111 Terry St
Indian Harbour Beach, FL 32937-2736
Phone (321) 591-2300

Other names 1

  • Mrs. Adrian E Shad Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL aprnadrian@yahoo.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230915002842 FL Practitioner - Nurse Practitioner 6103280656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Centers of Brevard County LLCGroup PAC ID 6002238714, 25 clinicians

Practice addresses (Care Compare)

2600 Westhall LN Box
300 Health First Adventhealth Centra Care C
Maitland, FL 32751-7102
Phone (407) 200-2300

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Centers of Brevard County LLC Family CurrentSince Aug 7, 2023 Accepting new patients
Space Coast Urgent Care LLC CurrentSince Sep 25, 2022 Accepting new patients
Urgent Care Centers of Brevard County LLC Family CurrentSince Aug 7, 2023 Accepting new patients
Space Coast Internal Medicine & Geriatric LLC PastSince Aug 1, 2022 Accepting new patients

Locations

105 S Banana River Blvd
Cocoa Beach, FL 32931
Phone (321) 783-3362

890 E Eau Gallie Blvd
Indian Harbour Beach, FL 32937
Phone (321) 427-5672

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

Interoperability endpoints

  • Direct secure messaging: atuttle1882844@adventhealth.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/25911/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1609503572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 TERRY ST",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329372736",
            "telephone_number": "321-591-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 E EAU GALLIE BLVD",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374903",
            "telephone_number": "321-722-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "ADRIAN",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11020584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "aprnadrian@yahoo.com",
            "affiliation": "N",
            "address_1": "890 E Eau Gallie Blvd",
            "city": "Indian Harbour Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329374903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ADRIAN",
            "last_name": "SHAD",
            "middle_name": "E",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indian Harbour Beach, FL

Sources for this page

Verify at the official NPI Registry.