Carol Burnham Tuller, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

CT000946 Issued in CT

Practice address

21 Waterville Rd
Harvest Healthcare C/O Apple Rehab
Avon, CT 06001

Phone

(860) 678-9755

Fax

(860) 284-6804

NPI assigned

Apr 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Eastern Connecticut Medical Professionals Foundation Inc

  • Family Medicine Physician
  • Manchester, CT
  • NPI 1770557712
  NPD (past)
• Healthwise Medical Associates, LLP

  • Family Medicine Physician
  • Vernon, CT
  • NPI 1891749933
  NPD (past)

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1699737189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WATERVILLE RD",
            "address_2": "HARVEST HEALTHCARE C/O APPLE REHAB",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "860-678-9755",
            "fax_number": "860-284-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WATERVILLE RD",
            "address_2": "HARVEST HEALTHCARE C/O APPLE REHAB",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "860-678-9755",
            "fax_number": "860-284-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLER",
        "first_name": "CAROL",
        "middle_name": "BURNHAM",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "CT000946",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "000946",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699737189",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ali Torabzadeh, M.D.
• Lena Tran, SLP
• Richelle Trebilcock, LAT
• Heather Elizabeth Trompeter, NP
• Carissa Ann Tufano, MSN
• Sapora Turenshine
• Cristina Turner, LCSW
• Kathy Turner, LCSW
• Tus Nua Counseling LLC
• Jessica Tuthill, OTR/L

• Adult Health Nurse Practitioner in Avon, CT
• Providers in Avon, CT by specialty
• Adult Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.