KELLY TULL WHNP NPI 1306398409

NPI Information

NPI: 1306398409
Provider Name: KELLY TULL, WHNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Organization: BAYSTATE OB/GYN GROUP INC

PECOS Registration: Yes

Address:
3455 MAIN ST STE C
SPRINGFIELD, MA
ZIP 01107
Phone: (413) 794-8484
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Kelly Tull, WHNP is a women's health nurse practitioner in Springfield, MA with 8 years of experience. Kelly Tull, WHNP NPI is 1306398409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3455 MAIN ST STE C
SPRINGFIELD, MA
ZIP 01107-187
Phone: (413) 794-8484
Fax: (413) 794-8477

The NPI 1306398409 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/25/2016 and was last updated on 7/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	28185781A	INDIANA	Yes
2	363LW0102X	Nurse Practitioner	Women's Health	7658	CONNECTICUT	No
3	363LW0102X	Nurse Practitioner	Women's Health	RN2323729	MASSACHUSETTS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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