Individual provider Active NPI

Clare M Tullock, F NP

  • Family Nurse Practitioner
  • North Adams, MA
National Provider Identifier
1942565304
Registry record updated Sep 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN264971 Issued in MA
Practice address
820 State Rd
North Adams, MA 01247-3027
Phone
(413) 664-4088
Fax
(413) 663-6405
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2017

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 RN264971 MA Primary

Addresses

Primary practice location

820 State Rd
North Adams, MA 01247-3027

Mailing address

780 Main St
Ste 1
Great Barrington, MA 01230-2149
Phone (413) 528-2418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20121106000185 MA Practitioner - Nurse Practitioner 7911158621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Berkshire Faculty Services IncGroup PAC ID 8224068424, 276 clinicians

Practice addresses (Care Compare)

165 Tor CT
Pittsfield, MA 01201-3001
Phone (413) 447-2701

780 S Main St
Suite 2
Great Barrington, MA 01230-2149
Phone (413) 447-2498

Hospital & facility affiliations

  • Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046
  • Fairview Hospital Hospital, Great Barrington, MA, CCN 221302
  • North Adams Regional Hospital Corporation Hospital, North Adams, MA, CCN 221304

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Faculty Services Inc CurrentSince Jan 4, 2020 Accepting new patients
Fairview Hospital CurrentSince Feb 1, 2020 Accepting new patients
Fairview Hospital CurrentSince Feb 1, 2020 Accepting new patients
Fairview Hospital Current Accepting new patients
Fairview Hospital CurrentSince Jan 4, 2020 Accepting new patients
Hillcrest Family Health Center Past Accepting new patients

Locations

29 Lewis Ave
Gt Barrington, MA 01230
Phone (413) 528-0790

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

820 State Rd
North Adams, MA 01247
Phone (413) 664-4088

71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343

165 Tor Ct
Pittsfield, MA 01201
Phone (413) 447-2862

Interoperability endpoints

  • Direct secure messaging: claretullock@fvh.medalliesdirect.net
  • Direct secure messaging: clare.tullock@emma.directbygreenway.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505692800000",
    "number": "1942565304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 MAIN ST",
            "address_2": "STE 1",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012302149",
            "telephone_number": "413-528-2418",
            "fax_number": "413-528-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 STATE RD",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012473027",
            "telephone_number": "413-664-4088",
            "fax_number": "413-663-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLOCK",
        "first_name": "CLARE",
        "middle_name": "M",
        "credential": "F NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2017-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN264971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Adams, MA

Sources for this page

Verify at the official NPI Registry.