Active NPI
Denise Stage Tulga, CNNP - BC
- Neonatal Nurse Practitioner
- Reynoldsburg, OH
National Provider Identifier
1811223340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 155537
- Practice address
- 1710 Fawnbrook CT
Reynoldsburg, OH 43068-8115 - Phone
- (614) 861-0469
- NPI assigned
- Oct 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 155537 | OH | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 98441 | OH |
Addresses
Primary practice location
1710 Fawnbrook CT
Reynoldsburg, OH 43068-8115
Mailing address
1710 Fawnbrook CT
Reynoldsburg, OH 43068-8115
Phone (614) 861-0469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2398838 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 155537 | OH | MD | Neonatal Nurse Practitioner |
| 98441 | OH | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255737600000",
"number": "1811223340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 FAWNBROOK CT",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430688115",
"telephone_number": "614-861-0469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 FAWNBROOK CT",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430688115",
"telephone_number": "614-861-0469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TULGA",
"first_name": "DENISE",
"middle_name": "STAGE",
"name_prefix": "Mrs.",
"credential": "CNNP - BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-17",
"last_updated": "2009-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "OH",
"license": "155537",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "98441",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2398838",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reynoldsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.