KATHERINE DENISE TULLY (NPI# 1689727380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689727380 |
| Entity Type | Individual |
| Full Name | KATHERINE DENISE TULLY |
| Other Name | KATHERINE BURKE SIMPSON |
| Credential | CNNP |
| Practice Address |
1060 1st Colonial Rd Pediatrix Medical Group Virginia Beach VA 23454 |
| Mailing Address |
306 Pasture Lane York Town VA 23693 |
| Practice Telephone | 7573956326 |
| Practice Fax Number | 7573956387 |
| Mailing Telephone | 7573436146 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
0024166425 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669939526 | Katherine A Tully | Physical Therapist | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2019-02-27 |
| Street Address |
1060 1ST COLONIAL RD PEDIATRIX MEDICAL GROUP |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356994263 | Agape Consulting | Behavioral Analyst | 1216 Garth Court, Virginia Beach, VA 23454 | 2019-07-19 |
| 1831650266 | Amelia Jo Crutsinger | Physician Assistant | 1644 Kepler Bnd, Virginia Beach, VA 23454 | 2019-03-28 |
| 1538639158 | Bay Psychiatric II Inc | Counselor | 923 First Colonial Rd Suite 1821, Virginia Beach, VA 23454 | 2018-11-26 |
| 1487151759 | Akanksha Mohan | Student in an Organized Health Care Education/Training Program | 100 Mannng Drive, Chapel Hill, Nc 27514, Chapel Hill, NC 23454 | 2018-04-12 |
| 1275038580 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1615 General Booth Blvd, Virginia Beach, VA 23454 | 2018-03-28 |
| 1346783164 | Tracy Chasse | Occupational Therapy Assistant | 1628 Old Donation Parkway, Virginia Beach, VA 23454 | 2016-11-28 |
| 1982066627 | Jennifer Mitchell | Speech-Language Pathologist | 2101 Agecroft Rd., Virginia Beach, VA 23454 | 2016-03-22 |
| 1659730562 | Rebecca Houvener | Psychologist | 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 | 2016-02-19 |
| 1932581741 | Monica Jane Bailey | Nurse Practitioner | 2110 N Great Neck Rd, Virginia Beach, VA 23454 | 2015-06-29 |
| 1376930073 | Ashley A Burkholder | Family Medicine | 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 | 2015-04-20 |
| Find all providers in zip 23454 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831636463 | Tammy A Lewis | Nurse Practitioner | 5803 Bremo Road, Richmond, VA 23226 | 2017-01-20 |
| 1821286485 | Mary Ayers Highton | Nurse Practitioner | 3300 Rivermont Ave., Lynchburg, VA 24503 | 2007-10-09 |
| 1851586739 | Daniele Pasquini Ottinger | Nurse Practitioner | Lee Street Seventh Floor, Charlottesville, VA 22908-0001 | 2007-09-13 |
| 1144426404 | Teri E Minehart | Nurse Practitioner | 1701 No. George Mason Drive, Arlington, VA 22205 | 2007-06-25 |
| 1730393745 | Karen Borne Powell | Nurse Practitioner | 24440 Stone Springs Blvd, Dulles, VA 20166-2247 | 2007-05-09 |
| 1548337579 | Pamela Ann Fuller | Nurse Practitioner | 1508 Sandgate Rd, Midlothian, VA 23113-2446 | 2006-11-28 |
| 1033220322 | Erin P Broush | Nurse Practitioner | 1213 E Clay St, Richmond, VA 23298-5071 | 2006-08-31 |
| 1619924974 | Cheryl Viar Allison | Nurse Practitioner | 101 Elm Ave., Roanoke, VA 24012 | 2006-05-30 |
| 1720046246 | Diane Sue Goode | Nurse Practitioner | 7195 Scarlet Oak Dr, Roanoke, VA 24019-2133 | 2006-05-03 |
| 1689634925 | Donna Lynn Buchanan | Nurse Practitioner | 1506 Willow Lawn Dr, Suite 205, Richmond, VA 23230-3413 | 2006-03-23 |
| Find all providers with the same taxonomy | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23454 |
Please comment or provide details below to improve the information on KATHERINE DENISE TULLY.
| 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.