Individual provider Active NPI

Emily Fredricks Tully, DNP, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Hendersonville, NC
National Provider Identifier
1649830886
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60975350 Issued in WA
Practice address
709 N Justice St
Hendersonville, NC 28791-3454
Phone
(828) 696-1234
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5013997 NC
Family Nurse Practitioner 363LF0000X AP60975350 WA Primary

Addresses

Primary practice location

709 N Justice St
Hendersonville, NC 28791-3454

Mailing address

1000 Kensington PL Apt E
Asheville, NC 28803-2383
Phone (828) 329-3507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210326000195 NC Practitioner - Nurse Practitioner 9830523919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Washington School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Community Health Services, Inc.Group PAC ID 3173434743, shared by 22 NPIs, 95 clinicians

Practice addresses (Care Compare)

2579 Chimney Rock Rd
Hendersonville, NC 28792-9181
Phone (828) 692-4289

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60975350WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Community Health Services, Inc. CurrentSince Apr 12, 2021 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Apr 12, 2021 Accepting new patients
Blue Ridge Community Health Services Inc CurrentSince Apr 12, 2021 Accepting new patients

Locations

69 N Broad St
Brevard, NC 28712
Phone (828) 883-2708

29 W French Broad St
Ste 202
Brevard, NC 28712
Phone (828) 883-5550

674 Highlands Rd
Franklin, NC 28734
Phone (828) 349-0001

709 N Justice St
Hendersonville, NC 28791
Phone (828) 692-7057

2579 Chimney Rock Rd
Hendersonvlle, NC 28792
Phone (828) 692-3106

709 N Justice St
Ste B
Hendersonvlle, NC 28791
Phone (828) 696-1255

220 5th Ave E
Hendersonvlle, NC 28792
Phone (828) 337-3372

293 Hospital Rd
Sylva, NC 28779
Phone (828) 477-4334

44 Bonnie Ln
Sylva, NC 28779
Phone (828) 339-3999

307 Broadview Rd
Waynesville, NC 28786
Phone (828) 452-9258

131 Walnut St
Waynesville, NC 28786
Phone (828) 456-8604

Interoperability endpoints

  • Direct secure messaging: emily.tully.1@21884.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1649830886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 KENSINGTON PL APT E",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032383",
            "telephone_number": "828-329-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 N JUSTICE ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913454",
            "telephone_number": "828-696-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLY",
        "first_name": "EMILY",
        "middle_name": "FREDRICKS",
        "credential": "DNP, ARNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013997",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60975350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.