Mary Ellen Tull, MSN, RN, ACNS-BC

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

RN 83242 Issued in MA

Practice address

275 Nichols Rd
Fitchburg, MA 01420-1919

Phone

(978) 343-6957

Fax

(978) 354-1378

NPI assigned

Feb 17, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1619336732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SPRUCE ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533361",
            "telephone_number": "978-343-6957",
            "fax_number": "978-354-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 NICHOLS RD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014201919",
            "telephone_number": "978-343-6957",
            "fax_number": "978-354-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULL",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "MSN, RN, ACNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "RN 83242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah-Ann Emily Trenn
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• TTK Psychaitry Matters, PLLC
• Nicole Tuck
• Umass Memorial MRI & Imaging Center, LLC
• Urgent Care Centers of Central Massachusetts, LLC
• Kelly M Vaillancourt
• Heather Valdez
• Kisha Vale, BCBA

• Adult Psychiatric/Mental Health Registered Nurse in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.