Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Tabitha Mae Paull, DNP-FNP

Individual provider Primary Care Nurse Practitioner · NPI 1598652471

Dr. Tabitha Mae Paull, DNP-FNP is a Nurse Practitioner in Santa Rosa, California. Qualified in 2025, 1 year ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Colorado.

Years since qualifying
1
Licensed in
CA, CO
In the registry since
2025
Specialties on file
3
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Practice location Address checks out

1162 Montgomery Dr Fl 2
Santa Rosa, CA 95405-4802
Phone: (707) 890-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 360 S Garfield St Ste 550, Denver, CO 80209-3392 — (303) 333-5456

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence APN-1001705-NP (CO)
Nurse Practitioner Taxonomy 363L00000X · Licence 95036454 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F06250193 (CO)

Record details

NPI number1598652471
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP-FNP
Sole proprietorNo
NPI enumeratedJune 23, 2025
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Santa Rosa