KELLY TULL


Address: 3455 Main St Ste C, Springfield, MA 01107-1187
Phone: 4137948484

KELLY TULL (NPI# 1306398409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306398409
Entity Type Individual
Full Name KELLY TULL
Credential WHNP
Practice Address 3455 Main St Ste C
Springfield
MA 01107-1187
Mailing Address 354 Birnie Ave Ste 202
Springfield
MA 01107-1109
Practice Telephone 4137948484
Practice Fax Number 4137948477
Mailing Telephone 4137944744
Mailing Fax Number 4137875273
Enumeration Date 2016-10-25
Last Update Date 2020-07-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LW0102X Nurse Practitioner
Specialization: Women's Health
RN2323729 MA Physician Assistants & Advanced Practice Nursing Providers
N 363LW0102X Nurse Practitioner
Specialization: Women's Health
7658 CT Physician Assistants & Advanced Practice Nursing Providers
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
28185781A IN Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY TULL

NPI Name Taxonomy Address Enumeration
1366797193 Kelly Elizabeth Tull Counselor 23801 Calabasas Rd, Suite 2036, Calabasas, CA 91302-3462 2012-07-18

Office Location

Street Address 3455 MAIN ST STE C
City SPRINGFIELD
State MA
Zip Code 01107-1187

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629031448 Howard G Trietsch Obstetrics & Gynecology 3455 Main St Ste C, Springfield, MA 01107-1187 2006-04-11
1225682495 Michelle Elizabeth Mills Advanced Practice Midwife 3455 Main St Ste C, Springfield, MA 01107-1187 2019-07-26
1841773348 Aliza Rosenstein Midwife 3455 Main St Ste C, Springfield, MA 01107-1187 2018-09-11
1295244291 Vanessa Lee Thomas Advanced Practice Midwife 3455 Main St Ste C, Springfield, MA 01107-1187 2017-09-22
1417013228 Erica Liebermann Nurse Practitioner 3455 Main St Ste C, Springfield, MA 01107-1187 2006-12-28
1366542342 Baystate Ob/gyn Group Inc Obstetrics & Gynecology 3455 Main St Ste C, Springfield, MA 01107-1187 2006-09-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740702547 Domingo Nieves Jr. Counselor 2225 Main St., Springfield, MA 01107 2017-07-13
1801318266 Denise Lawson Counselor 2257 Main Street, Springfield, MA 01107 2017-07-07
1568912491 Trina Cysz Nurse Practitioner 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 2016-10-04
1609322262 Toheeb Oladimeji Bakare Counselor 322 Birnie Avenue, Springfield, MA 01107 2016-09-01
1952701161 Jalissa Sostre Counselor 32 Abbe Ave, Springfield, MA 01107 2014-08-26
1659799161 Elizabeth A. Otmaskin Obstetrics & Gynecology 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 2014-04-01
1205268885 Catherine Matejcek Davies Counselor 246 Park Street, Springfield, MA 01107 2013-08-06
1750723268 Jasdeep S. Badwal Allergy & Immunology 2 Medical Center Dr Ste 406, Springfield, MA 01107 2013-07-25
1255691846 Medical Express Urgent Care Center, Co. Inc. Physical Medicine & Rehabilitation 438 Chestnut Street, Springfield, MA 01107 2012-05-17
1205166642 Matthew R Kelley Audiologist 100 Wason, Suite 100, Springfield, MA 01107 2010-01-07
Find all providers in zip 01107

Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356956304 Andrea Marie Sleeth Nurse Practitioner 3329 W Sexton St, Springfield, MO 65810-1080 2020-09-15
1063704815 Robyn Carmody Nurse Practitioner 2308a Memorial Blvd, Springfield, TN 37172-3929 2011-05-12
1164742987 Lekha Sreekumar Nurse Practitioner 884 S Springfield Ave Apt 11, Springfield, NJ 07081-3320 2010-06-03
1427231166 Rosemary Claire Kratovil Nurse Practitioner 39 Mulberry Street, Upper Level, Springfield, MA 01105 2007-12-17
1831113570 Debora G. Barnes Nurse Practitioner 1335 E Independence St Ste B, Springfield, MO 65804-4213 2006-07-26
1437156601 Sharon Kay Giboney Nurse Practitioner 1000 E Primrose St, Suite #270, Springfield, MO 65807-5154 2005-07-03
1073070421 Kelly K Debrosse Nurse Practitioner 1108 Vester Ave, Springfield, OH 45503-1302 2019-02-21
1518409069 Shayla Crawford Nurse Practitioner 1965 S Fremont Ave Ste 270, Springfield, MO 65804 2016-11-15
1881058436 Michelle Gavala Nurse Practitioner 193 Mountain Ave, Springfield, NJ 07081-1755 2016-04-11
1922468305 Kia Danielle Washington Nurse Practitioner 440 E Tampa St, Springfield, MO 65806-1131 2016-02-29
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 01107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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