Individual provider Active NPI

Elizabeth Felipe Tullid

  • Contractor
  • Tucson, AZ
National Provider Identifier
1972836203
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
1782918 Issued in AZ
Practice address
6400 N Camino Padre Isidoro
Tucson, AZ 85718-2032
Phone
(520) 303-2763
NPI assigned
Sep 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 1782918 AZ Primary

Addresses

Primary practice location

6400 N Camino Padre Isidoro
Tucson, AZ 85718-2032

Mailing address

994 S Harrison Rd
Tucson, AZ 85748-6608
Phone (520) 721-1887

Other names 1

  • Elizabeth Felipe Bondoc Former name

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
1782918AZMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253232000000",
    "number": "1972836203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 S HARRISON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857486608",
            "telephone_number": "520-721-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 N CAMINO PADRE ISIDORO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857182032",
            "telephone_number": "520-303-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLID",
        "first_name": "ELIZABETH",
        "middle_name": "FELIPE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-18",
        "last_updated": "2009-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "AZ",
            "license": "1782918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BONDOC",
            "middle_name": "FELIPE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.