Individual provider Active NPI

Teresa Tulloss Bockian, ARNP-BC

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1780767756
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN2930142 Issued in FL
Practice address
7243 Della Dr
Orlando, FL 32819-5104
Phone
(407) 381-7366
Fax
(321) 203-4647
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2930142 FL
Family Nurse Practitioner 363LF0000X APRN2930142 FL Primary

Addresses

Primary practice location

7243 Della Dr
Orlando, FL 32819-5104

Mailing address

7243 Della Dr
Orlando, FL 32819-5104
Phone (407) 381-7366

Other practice location 1

8927 Conroy Windermere Rd
Orlando, FL 32835-3127
Phone (407) 909-4799

Other names 1

  • Miss Teresa Ann Tulloss Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20130912000461 FL Practitioner - Nurse Practitioner 0244474237 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2930142FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Physicians Network Inc CurrentSince Mar 1, 2023 Accepting new patients
Take Care Health Services PA Family CurrentSince Sep 3, 2013 Accepting new patients
Physician Associates LLC PastSince Mar 1, 2023 Accepting new patients

Locations

12100 S Apopka Vineland Rd
Orlando, FL 32836
Phone (407) 238-0600

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

8050 International Dr
Orlando, FL 32819
Phone (407) 352-7071

7243 Della Dr
Ste M
Orlando, FL 32819
Phone (407) 381-7326

7243 Della Dr
Orlando, FL 32819
Phone (407) 381-7366

16752 Collection Center Dr
#D
Chicago, IL 60693

16752 Collection Center Dr
Chicago, IL 60693

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1780767756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7243 DELLA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195104",
            "telephone_number": "407-381-7366",
            "fax_number": "321-203-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7243 DELLA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195104",
            "telephone_number": "407-381-7366",
            "fax_number": "321-203-4647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8927 Conroy Windermere Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328353127",
            "country_code": "US",
            "telephone_number": "407-909-4799",
            "fax_number": "407-909-0555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOCKIAN",
        "first_name": "TERESA",
        "middle_name": "TULLOSS",
        "name_prefix": "Mrs.",
        "credential": "ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2930142",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN2930142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "TULLOSS",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "ARNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.