KELLY TULL (NPI# 1306398409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366797193 | Kelly Elizabeth Tull | Counselor | 23801 Calabasas Rd, Suite 2036, Calabasas, CA 91302-3462 | 2012-07-18 |
Street Address |
3455 MAIN ST STE C |
City | SPRINGFIELD |
State | MA |
Zip Code | 01107-1187 |
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 |
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 Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
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 |
City | SPRINGFIELD |
Zip Code | 01107 |
Please comment or provide details below to improve the information on KELLY TULL.
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.