Individual provider Active NPI

Sharilyn Kay Tuttle, PLMHP, PMSW

  • Mental Health Counselor
  • Grand Island, NE
National Provider Identifier
1730999236
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14247 Issued in NE
Practice address
659 Orleans Dr Ste 2
Grand Island, NE 68803-3420
Phone
(308) 395-7272
Fax
(308) 395-7131
NPI assigned
Jan 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8147 NE
Mental Health Counselor 101YM0800X 14247 NE Primary

Addresses

Primary practice location

659 Orleans Dr Ste 2
Grand Island, NE 68803-3420

Mailing address

3601 Innate Cir Apt 301
Grand Island, NE 68803-6102
Phone (308) 850-7747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14247NEMDPharmacist
8147NEMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1730999236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 INNATE CIR APT 301",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688036102",
            "telephone_number": "308-850-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 ORLEANS DR STE 2",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688033420",
            "telephone_number": "308-395-7272",
            "fax_number": "308-395-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "SHARILYN",
        "middle_name": "KAY",
        "credential": "PLMHP, PMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "8147",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "14247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.