Active NPI
Tina D Nunnellee, PHD
- Professional Counselor
- Pflugerville, TX
National Provider Identifier
1609935493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16997
- Practice address
- 1005 Laurel Oak TRL
Pflugerville, TX 78660-3426 - Phone
- (512) 535-5673
- NPI assigned
- Dec 7, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 16997 | TX | Primary |
Addresses
Primary practice location
1005 Laurel Oak TRL
Pflugerville, TX 78660-3426
Mailing address
1005 Laurel Oak TRL
Pflugerville, TX 78660-3426
Phone (512) 535-5673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16997 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1609935493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 LAUREL OAK TRL",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786603426",
"telephone_number": "512-535-5673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 LAUREL OAK TRL",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786603426",
"telephone_number": "512-535-5673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNNELLEE",
"first_name": "TINA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "16997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pflugerville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.