Kenneth Frank Tullis, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD7800 Issued in TN

Practice address

5158 Stage Rd Ste 120
Memphis, TN 38134-3116

Phone

(901) 383-1924

Fax

(901) 383-1925

NPI assigned

Oct 19, 2006

Sex

Male

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Addiction Medicine

Education

Vanderbilt University School of Medicine, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689756751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5158 STAGE RD STE 120",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381343116",
            "telephone_number": "901-383-1924",
            "fax_number": "901-383-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5158 STAGE RD STE 120",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381343116",
            "telephone_number": "901-383-1924",
            "fax_number": "901-383-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLIS",
        "first_name": "KENNETH",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD7800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ranesha Tucker
• Renwick Eddie Tucker, D.C.
• Tiffany Tucker, PHD
• Sandra Koh Tuhy, FNP-C
• Angela Reed Tull, M.A., CCC-SLP
• Erica Tullison
• China Tully, LCSW
• Christina Tunney, FNP-C
• Elaine I Tuomanen, MD
• Johnathan J Tupper, MD

• Psychiatry Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Psychiatry Physician in Tennessee

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.