Active NPI
Ryan Michael Tullis
- Paramedic
- Tooele, UT
National Provider Identifier
1992331334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 2011906001
- Practice address
- 2055 N Main St
Tooele, UT 84074-9819 - Phone
- (435) 841-9651
- NPI assigned
- Mar 17, 2020
- Last updated
- Mar 17, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 2011906001 | UT | Primary |
Addresses
Primary practice location
2055 N Main St
Tooele, UT 84074-9819
Mailing address
2055 N Main St
Tooele, UT 84074-9819
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Ryan_Tullis@QuorumHealth.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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011906001 | UT | MD | Paramedic |
Interoperability endpoints
- ryan_tullis@quorumhealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1992331334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 N MAIN ST",
"city": "TOOELE",
"state": "UT",
"postal_code": "840749819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 N MAIN ST",
"city": "TOOELE",
"state": "UT",
"postal_code": "840749819",
"telephone_number": "435-841-9651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TULLIS",
"first_name": "RYAN",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-17",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "UT",
"license": "2011906001",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Ryan_Tullis@QuorumHealth.com",
"affiliation": "N",
"address_1": "2055 N Main St",
"city": "Tooele",
"state": "UT",
"country_code": "US",
"postal_code": "840749819",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tooele, UT
- Tooele Valley Counseling PLLC
- Tooele Valley Imaging, LLC (First Choice Imaging)
- Tooele Valley Spine Center
- Tooele Valley Urgent Care LLC
- Kyle D Toone, PT
- Ellen Gable Turgeon, DMD
- Shantalina M Tyler
- University of Utah (Stansbury Health Center)
- US Army Health Clinic (Ohc Tooele Army Depot)
- Emmanuella Uzoigwe, DNP FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.