Individual provider Active NPI

Austen Diane Tullis, DNP

  • Family Nurse Practitioner
  • Clearfield, UT
National Provider Identifier
1750924536
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12962021-4405 Issued in UT
Practice address
Building H-11, Freeport Center
Clearfield, UT 84016
Phone
(801) 774-3265
Fax
(385) 287-1978
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12962021-4405 UT Primary

Addresses

Primary practice location

Building H-11, Freeport Center
Clearfield, UT 84016

Mailing address

1413 E Bent Brook LN
Kaysville, UT 84037-1386
Phone (509) 481-3741

Other names 1

  • Austen Diane Moffitt Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address austentullis@careatc.com

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Futura Medical Clinic PastSince Oct 21, 2025 Accepting new patients
Onsite Care Inc PastSince Oct 21, 2025 Accepting new patients
SW Family Practice PLLC PastSince Oct 1, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1750924536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 E BENT BROOK LN",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371386",
            "telephone_number": "509-481-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING H-11, FREEPORT CENTER",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "84016",
            "telephone_number": "801-774-3265",
            "fax_number": "385-287-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLIS",
        "first_name": "AUSTEN",
        "middle_name": "DIANE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "12962021-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "austentullis@careatc.com",
            "affiliation": "N",
            "address_1": "Building H-11, Freeport Center",
            "city": "Clearfield",
            "state": "UT",
            "country_code": "US",
            "postal_code": "84016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AUSTEN",
            "last_name": "MOFFITT",
            "middle_name": "DIANE",
            "credential": "DNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clearfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.