Shannon Tulloch, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

714301 Issued in NY

Practice address

23412 133Rd Ave Apt 1
Rosedale, NY 11422-1304

Phone

(917) 500-8038

NPI assigned

Apr 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1619474814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23412 133RD AVE APT 1",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114221304",
            "telephone_number": "917-500-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23412 133RD AVE APT 1",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114221304",
            "telephone_number": "917-500-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLOCH",
        "first_name": "SHANNON",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "714301",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "714301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulette Andrea Tinson, RN
• Paola Trejos, SLP
• Sonia Trotman
• Rivkah Leah Tuchinsky, LMSW
• Valerie V. Tulloch Blair
• Trevon Turner
• Twins Too LLC.
• Twins Way LLC
• Stephanie Ulysse
• Vanessa Ulysse

• Registered Nurse in Rosedale, NY
• Providers in Rosedale, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.