TERRY RAE DULLE (NPI# 1023506201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023506201 |
Entity Type | Individual |
Full Name | TERRY RAE DULLE |
Credential | RN |
Practice Address |
6274 33rd Ave N St Petersburg FL 33710-2406 |
Mailing Address |
801 W Gordon St Thomaston GA 30286-3426 |
Practice Telephone | 7152713046 |
Mailing Telephone | 7066465725 |
Enumeration Date | 2018-04-24 |
Last Update Date | 2018-04-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163W00000X | Registered Nurse | RN9470158 | FL | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | STATE OF FLORIDA DRIVERS LICENSE | D400816605850 | 01 |
FL | RN MULTISTATE LICENSE | 9470158 | 01 |
FL | PINELLAS COUNTY VOTER ID CARD | 124995088 | 01 |
Street Address |
6274 33RD AVE N |
City | ST PETERSBURG |
State | FL |
Zip Code | 33710-2406 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
Find all providers in zip 33710 |
Taxonomy Code | 163W00000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962000265 | Ebony Wright | Registered Nurse | 12000 4th St N Apt 24, St Petersburg, FL 33716-1709 | 2020-10-09 |
1114547924 | Raymie Gauchet Gogolen | Registered Nurse | 6730 35th Ter N, St Petersburg, FL 33710-1525 | 2020-04-22 |
1235759010 | Carrington's Caring Angels | Registered Nurse | 3110 1st Avenue North, 2i, St Petersburg, FL 33713-8637 | 2020-04-21 |
1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
1871063875 | Ryan Kilbane | Registered Nurse | 11601 4th St N Apt 2406, St Petersburg, FL 33716-2745 | 2018-12-03 |
1881163590 | Tanya Trussel | Registered Nurse | 3641 Tyrone Blvd N Ste 3, St Petersburg, FL 33710-1150 | 2018-11-26 |
1598277295 | Jonathan Charles Alexander | Registered Nurse | 701 6th St S Fl 33701, St Petersburg, FL 33701-4814 | 2017-11-02 |
1467992891 | Nneka Mbadiwe | Registered Nurse | 76 4th St N, Apt 644, St Petersburg, FL 33731-7155 | 2017-03-05 |
1558805051 | Tiffanie Walton | Registered Nurse | 1332 Prescott St S, St Petersburg, FL 33712-2441 | 2016-12-19 |
1275075186 | April Leonard | Registered Nurse | 9901 54th Ave N, St Petersburg, FL 33708-3605 | 2016-11-09 |
Find all providers in ST PETERSBURG |
City | ST PETERSBURG |
Zip Code | 33710 |
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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.