DR. TABITHA MAE PAULL DNP-FNP NPI 1598652471

NPI Information

  • NPI: 1598652471
  • Provider Name: DR. TABITHA MAE PAULL, DNP-FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1162 MONTGOMERY DR FL 2
    SANTA ROSA, CA
    ZIP 95405
  • Phone: (707) 890-4100

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NPI Details

DR. Tabitha Mae Paull, DNP-FNP is a family nurse practitioner in Santa Rosa, CA. DR. Tabitha Mae Paull, DNP-FNP NPI is 1598652471. 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:

1162 MONTGOMERY DR FL 2
SANTA ROSA, CA
ZIP 95405-802
Phone: (707) 890-4100

The NPI 1598652471 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 6/23/2025 and was last updated on 8/20/2025.

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
1363L00000XNurse Practitioner95036454CALIFORNIANo
2363LF0000XNurse PractitionerFamilyF06250193COLORADOYes

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: 11/21/2025

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