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Deactivated NPI 1356538755 Deactivated / Inactive NPI Male Practitioner

John L Tullis

Specialist • Shoreline, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, John Tullis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 28, 2007
NPI Deactivation Date March 15, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

John Tullis was a registered Specialist practicing in Shoreline, WA. Throughout an active medical career spanning 16 years, John Tullis provided care at the practice location at 19708 15TH AVE NE until profile deactivation on 2023-03-15.

Practice Location & Contact Primary Location

Practice Address

19708 15th Ave Ne
Suite A

Shoreline, WA 981551189

Telephone 2064178500

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Shoreline, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
27 Specialists

Practicing in Shoreline, WA (2751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 15, 2023

Record deactivated on March 15, 2023

NPI Profile Active September 28, 2007

NPI status registered as active in NPPES database

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Updated Practice Location September 28, 2007

Registered at 19708 15TH AVE NE, SUITE A, SHORELINE, WA 981551189 (Tel: 2064178500)

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Updated Business Mailing Address September 28, 2007

Registered at 19708 15TH AVE NE, SUITE A, SHORELINE, WA 981551189 (Tel: 2064178500)

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Provider Name / Credentials Updated September 28, 2007

Recorded as JOHN TULLIS

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2007

Specialist

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Initial NPI Registration & Enumeration September 28, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356538755
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2007
Last Update: September 28, 2007
Deactivation Date: March 15, 2023

Mailing Address

19708 15th Ave Ne, Suite A

Shoreline, WA 981551189

Phone: 2064178500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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