MRS. TARA LEA BULLOCK (NPI# 1063410710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063410710 |
| Entity Type | Individual |
| Full Name | MRS. TARA LEA BULLOCK |
| Credential | ANP |
| Practice Address |
Rr 1 Box 371a London AR 72847-9602 |
| Practice Telephone | 4799681245 |
| Practice Fax Number | 4799684137 |
| Mailing Telephone | 4799681245 |
| Mailing Fax Number | 4799684137 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A01514 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
RR 1 BOX 371A |
| City | LONDON |
| State | AR |
| Zip Code | 72847-9602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902363369 | Lauren Pickering | Physical Therapist | 513 County Road 2750, London, AR 72847-8302 | 2019-02-21 |
| 1609026269 | Miranda Irene Sanders | Speech-Language Pathologist | 154 School St, London, AR 72847-9053 | 2008-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841244 | Emily Anne Simmons | Pharmacist | 1851 West Hwy 192, London, KY 40741 | 2020-11-06 |
| 1902406259 | Jessica Mccormick | Home Health Aide | 429 Muirwood Dr, London, OH 43140-2123 | 2020-10-27 |
| 1376142307 | Catherine Goff | In Home Supportive Care | 5190 4th Ave Ne, London, OH 43140-9039 | 2020-10-21 |
| 1578161394 | Roberta Jean Kirts | In Home Supportive Care | 5266 State Route 38 Nw, London, OH 43140-9534 | 2020-10-14 |
| 1225635691 | Mark Douglas Crawford II | Physician Assistant | 1288 Wyan Rd, London, KY 40744-9052 | 2020-10-07 |
| 1023615713 | Vicky S Blanton | Nurse Practitioner | 6990 Johnson Rd, London, KY 40741-9514 | 2020-10-06 |
| 1114524188 | Dustin Scott Ammerman | Physician Assistant | 682 Reed Rd, London, KY 40741-8662 | 2020-10-02 |
| 1790392041 | Michelle Renee Fuller | Homemaker | 1082 Amherst Blvd, London, OH 43140-8576 | 2020-09-29 |
| 1497367841 | Morgan Alesia Lafferty | Technician | 59 Hoskins Rd, London, WV 25126 | 2020-08-18 |
| 1396356135 | Desiree L Whitacre | Registered Nurse | 270 Keny Blvd, London, OH 43140-9040 | 2020-08-14 |
| Find all providers in LONDON | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615713 | Vicky S Blanton | Nurse Practitioner | 6990 Johnson Rd, London, KY 40741-9514 | 2020-10-06 |
| 1255966172 | Stephen George Sigrimis | Nurse Practitioner | 74 Emerald Dr, London, KY 40744-8944 | 2020-03-11 |
| 1154952844 | Makayla Jean Green | Nurse Practitioner | 1649 Highway 192 W, London, KY 40741-1674 | 2020-01-31 |
| 1902446941 | Esther Mwasumbi | Nurse Practitioner | 300 Crown Point Est, London, KY 40741-7531 | 2020-01-07 |
| 1295378792 | Rebekah Virginia Elaine Cloud | Nurse Practitioner | 1649 Ky- 192 W, London, KY 40741 | 2019-10-28 |
| 1669021523 | Carla Deanne Gilbert | Nurse Practitioner | 100 London Mountain View Dr Ste B, London, KY 40741-6668 | 2019-09-04 |
| 1306302096 | Amber R Weeks | Nurse Practitioner | 133 Henry Clay Ln, London, KY 40744-8150 | 2019-02-18 |
| 1407325897 | Sherri Curtiss | Nurse Practitioner | 36 N Madison Rd, London, OH 43140-1061 | 2018-11-15 |
| 1215416581 | Mary Jean Nolan | Nurse Practitioner | 1649 W. Hwy 192, London, KY 40741 | 2018-08-08 |
| 1922592914 | Andrea M Goedel | Nurse Practitioner | 371 Lafayette St, London, OH 43140-9326 | 2018-06-21 |
| Find all providers in LONDON | ||||
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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.