Katherine Denise Tully, CNNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

0024166425 Issued in VA

Practice address

1060 1St Colonial Rd
Pediatrix Medical Group
Virginia Beach, VA 23454

Phone

(757) 395-6326

Fax

(757) 395-6387

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katherine Burke Simpson Former name

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Childrens Specialty Group PLLC

  • Pediatrics Physician
  • Norfolk, VA
  • NPI 1255354130
  Medicare reassignment NPD

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689727380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 PASTURE LANE",
            "city": "YORK TOWN",
            "state": "VA",
            "postal_code": "23693",
            "telephone_number": "757-343-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 1ST COLONIAL RD",
            "address_2": "PEDIATRIX MEDICAL GROUP",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23454",
            "telephone_number": "757-395-6326",
            "fax_number": "757-395-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLY",
        "first_name": "KATHERINE",
        "middle_name": "DENISE",
        "credential": "CNNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "VA",
            "license": "0024166425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "SIMPSON",
            "middle_name": "BURKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin Tuel
• Rana Tuffaha, D.M.D
• Jennifer Tuggle, LCSW
• Stephanie Regina Tuggle, RN
• Tamara Ibarlucea Tugung
• Cherie L. Tunney, CRNA
• Robert D Tupper, DPM
• Claire Turcotte
• Patricia Jeanne Turczany, PHYSICAL THERAPIST
• Jennifer Lynn Turley, MBA

• Neonatal Nurse Practitioner in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Neonatal Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.