MCKAYLA TULLY (NPI# 1821614496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821614496 |
| Entity Type | Individual |
| Full Name | MCKAYLA TULLY |
| Credential | RPE- SLP |
| Practice Address |
1449 Ygnacio Valley Rd Walnut Creek CA 94598-2932 |
| Mailing Address |
10038 E Troon North Dr Scottsdale AZ 85262-4569 |
| Practice Telephone | 9259395820 |
| Practice Fax Number | 9259390231 |
| Mailing Telephone | 6023705328 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1449 YGNACIO VALLEY RD |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639199409 | Ygnacio Valley Care Center, LLC | Skilled Nursing Facility | 1449 Ygnacio Valley Rd, Walnut Creek, CA 94598-2932 | 2006-07-21 |
| 1972133858 | Samantha Santos Uson | Physical Therapy Assistant | 1449 Ygnacio Valley Rd, Walnut Creek, CA 94598-2932 | 2020-01-20 |
| 1831744788 | Ida Yun Zhen Ji | Occupational Therapist | 1449 Ygnacio Valley Rd, Walnut Creek, CA 94598-2932 | 2019-08-07 |
| 1689236572 | Vanessa Ann Yackevicz | Occupational Therapist | 1449 Ygnacio Valley Rd, Walnut Creek, CA 94598-2932 | 2019-07-01 |
| 1619430451 | Jennifer Herbek | Physical Therapist | 1449 Ygnacio Valley Rd, Walnut Creek, CA 94598-2932 | 2019-04-09 |
| 1063974897 | Brent Barnett | Physical Therapy Assistant | 1449 Ygnacio Valley Rd, Walnut Creek, CA 94598-2932 | 2019-04-01 |
| 1649731696 | Elizabeth Jenniper Roces | Physical Therapy Assistant | 1449 Ygnacio Valley Rd, Walnut Creek, CA 94598-2932 | 2019-03-30 |
| 1922569524 | Kristy Moore | Physical Therapy Assistant | 1449 Ygnacio Valley Rd, Walnut Creek, CA 94598-2932 | 2019-03-26 |
| 1538687314 | Amanda Lianne Turner Retta | Occupational Therapist | 1449 Ygnacio Valley Rd, Walnut Creek, CA 94598-2932 | 2017-08-31 |
| 1669996245 | Awcy, LLC | Skilled Nursing Facility | 1449 Ygnacio Valley Rd, Walnut Creek, CA 94598-2932 | 2017-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304762 | Kristine Cheuk | Student in an Organized Health Care Education/Training Program | 564 N Civic Dr Apt C, Walnut Creek, CA 94597-3222 | 2020-07-27 |
| 1770114860 | Maribel Tovar | Student in an Organized Health Care Education/Training Program | 161 N Civic Dr Apt 228, Walnut Creek, CA 94596-3907 | 2020-01-28 |
| 1326520099 | Olga Drogomiretskiy | Student in an Organized Health Care Education/Training Program | 440 N Civic Dr, Walnut Creek, CA 94596-3367 | 2018-08-30 |
| 1720575871 | William Chen | Student in an Organized Health Care Education/Training Program | 1450 Treat Blvd Ste 230, Walnut Creek, CA 94597-2168 | 2018-04-15 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1316331796 | Neal Yuan | Student in an Organized Health Care Education/Training Program | 1520 Sorrel Ct, Walnut Creek, CA 94598-4800 | 2015-03-24 |
| 1407270549 | Gaber Saleh | Student in an Organized Health Care Education/Training Program | 1450 Treat Blvd Ste 320, Walnut Creek, CA 94597-2168 | 2014-02-10 |
| 1275979486 | Igor Nosovitskiy | Student in an Organized Health Care Education/Training Program | 1511 Siskiyou Dr, Walnut Creek, CA 94598-2116 | 2013-05-14 |
| 1336336387 | Robert Starkey | Student in an Organized Health Care Education/Training Program | 910 Cortina Ct, Walnut Creek, CA 94598-4526 | 2007-10-03 |
| 1295926335 | Caroline Gudorf | Student in an Organized Health Care Education/Training Program | 141 Rosemont Ct, Walnut Creek, CA 94597-3466 | 2007-08-05 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
Please comment or provide details below to improve the information on MCKAYLA 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.