EMILY FREDRICKS TULLY (NPI# 1649830886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649830886 |
| Entity Type | Individual |
| Full Name | EMILY FREDRICKS TULLY |
| Credential | DNP, ARNP, FNP-BC |
| Practice Address |
1920 100th St Se Ste B Everett WA 98208-3832 |
| Mailing Address |
603 N 1st St Mount Vernon WA 98273-2812 |
| Practice Telephone | 4253120202 |
| Mailing Telephone | 8283293507 |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60975350 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1920 100TH ST SE STE B |
| City | EVERETT |
| State | WA |
| Zip Code | 98208-3832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598190597 | Sea Mar Community Health Centers | Pharmacy | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2013-09-09 |
| 1477151025 | Glenda E Mendoza Mendez | Registered Nurse | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2020-10-15 |
| 1871191791 | Emina Polovina Bayomy | Nurse Practitioner | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2020-10-13 |
| 1558995159 | Annika Lilya Hearn | Registered Nurse | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2020-02-24 |
| 1134765589 | Shari Brown | Dietitian, Registered | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2019-11-20 |
| 1669034617 | Sara Joy Sobkowiak | Nurse Practitioner | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2019-06-30 |
| 1699332122 | Sea Mar Community Health Center | Dietitian, Registered | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2019-05-21 |
| 1841774924 | Zhen Zeng | Social Worker | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2018-09-24 |
| 1669955589 | Olivia Danielle Noell | Social Worker | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2018-09-07 |
| 1861905465 | Sea-mar Community Health Center | Clinic/Center | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2017-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270296 | Kenneth Britt Dyer | Registered Nurse | 10333 19th Ave, Se, Ste #109, Everett, WA 98208 | 2018-06-27 |
| 1518482215 | Glacier Peak Healthcare, Inc. | Home Health | 10530 19th Ave Se Ste 201, Everett, WA 98208 | 2017-08-03 |
| 1114454865 | Aliza Kreisman | Registered Nurse | 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 | 2017-05-12 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1467810259 | Elizabeth Anne Powley | Marriage & Family Therapist | 1920 100th Street Southeast, Bld C3, Everett, WA 98208 | 2016-02-08 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| 1396123865 | Sound Surgeons Pllc | Clinic/Center | 125 130th Street Se, 1st Floor, Everett, WA 98208 | 2015-05-15 |
| 1831576537 | Chris Sturgeon | Counselor | 10102 Meridian Ave, Everett, WA 98208 | 2015-05-01 |
| 1982011128 | James M Lee | Physical Therapist | 10821 19th Ave Se Ste 102, Everett, WA 98208 | 2014-07-21 |
| 1972937357 | Ronald Tracy | Dentist | 10315 19th Avenue Se Suite 110, Everett, WA 98208 | 2013-08-21 |
| Find all providers in zip 98208 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144867649 | Toni Sheree Waller | Nurse Practitioner | 10904 29th Dr Se, Everett, WA 98208-7810 | 2019-12-03 |
| 1689148090 | Bernadette N Kimemia | Nurse Practitioner | 6210 147th Pl Se, Everett, WA 98208-9387 | 2019-01-18 |
| 1942651906 | Breanne Marcucci | Nurse Practitioner | 11314 4th Ave W Ste 108, Everett, WA 98204-6926 | 2016-06-30 |
| 1578934568 | Nicole Mills | Nurse Practitioner | 12728 19th Ave Se # 200, Everett, WA 98208-6526 | 2015-10-15 |
| 1528377991 | Sonya Beth Starr | Nurse Practitioner | 15 Sw Everett Mall Way Ste A, Everett, WA 98204 | 2010-10-01 |
| 1043538440 | Sejal Parekh Graber | Nurse Practitioner | 1330 Rockefeller Ave Ste 200, Everett, WA 98201-1677 | 2010-05-10 |
| 1780834549 | Susan G Black | Nurse Practitioner | 227 Hospital Dr Ste 1, Everett, PA 15537-7019 | 2008-09-29 |
| 1639347438 | Alan Paul Abrams | Nurse Practitioner | 2731 Wetmore Avenue, Suite 500, Everett, WA 98201-3581 | 2008-02-14 |
| 1871688689 | Carol Dillon Mccahon | Nurse Practitioner | 930 N. Broadway, Everett, WA 98201 | 2006-10-04 |
| 1114926094 | Andrew Staffier | Nurse Practitioner | 596 Broadway, Everett, MA 02149-3743 | 2005-07-21 |
| Find all providers in EVERETT | ||||
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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.