MS. TRICIA LOIS BULLARD (NPI# 1184769812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184769812 |
| Entity Type | Individual |
| Full Name | MS. TRICIA LOIS BULLARD |
| Credential | MSN RN CPNP |
| Practice Address |
490 Ih 10 N Ste 100 Beaumont TX 77702-1819 |
| Mailing Address |
1502 Saddlecreek Dr Houston TX 77090-2136 |
| Practice Telephone | 4092129988 |
| Practice Fax Number | 4092128449 |
| Mailing Telephone | 2813970388 |
| Mailing Fax Number | 2813970388 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2018-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP105033 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
256934 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
490 IH 10 N STE 100 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77702-1819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518957471 | Jorge Washington Black | Pediatrics | 490 Ih 10 N Ste 100, Beaumont, TX 77702-1819 | 2005-10-24 |
| 1699382978 | Young Ron Kim | Nurse Practitioner | 490 Ih 10 N Ste 100, Beaumont, TX 77702-1819 | 2020-09-30 |
| 1598144735 | Elizabeth Garcia | Pediatrics | 490 Ih 10 N Ste 100, Beaumont, TX 77702-1819 | 2015-05-20 |
| 1144635152 | Cheryl Smith | Nurse Practitioner | 490 Ih 10 N Ste 100, Beaumont, TX 77702-1819 | 2014-06-27 |
| 1376833673 | Krystal Lynn Jerry | Pediatrics | 490 Ih 10 N Ste 100, Beaumont, TX 77702-1819 | 2011-04-08 |
| 1245432038 | Krishnakumari Kanesan | Pediatrics | 490 Ih 10 N Ste 100, Beaumont, TX 77702-1819 | 2007-06-04 |
| 1104854322 | Barbara L Simon | Nurse Practitioner | 490 Ih 10 N Ste 100, Beaumont, TX 77702-1819 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871134 | Anne Parker Chen | Psychologist | 2431 Liberty St., Beaumont, TX 77702 | 2020-01-30 |
| 1841715299 | Encounter Home Care, Inc. | Home Health | 990 I H 10 North, 225, Beaumont, TX 77702 | 2017-08-07 |
| 1962860023 | Jennifer Abney Bell | Nurse Practitioner | 3030 North St., Suite 510, Beaumont, TX 77702 | 2016-02-04 |
| 1720407687 | Jennifer Huff | Nurse Practitioner | 2980 Calder Ave, Beaumont, TX 77702 | 2014-04-08 |
| 1669894580 | Julie Christine Makdsi | Psychologist | 80 Interstate 10 N., Suite 205, Beaumont, TX 77702 | 2014-01-11 |
| 1437586682 | Lori Wenner | Registered Nurse | 2410 Harrison Street, Beaumont, TX 77702 | 2013-10-02 |
| 1548503311 | Robert J Grammatico | Emergency Medicine | 2830 Calder Ave., Beaumont, TX 77702 | 2013-03-30 |
| 1396084992 | Courtney Marie Guidry | Physician Assistant | 755 N 11th St Ste P5200, Beaumont, TX 77702 | 2013-02-04 |
| 1043524788 | Swarnalatha Devi Bathina | Dentist | 490 Ih-10, Suite 200, Beaumont, TX 77702 | 2010-08-05 |
| 1376798884 | Rehana Haq Javed | Pathology | Christus Hospital 2830 Calder St., Beaumont, TX 77702 | 2008-11-25 |
| Find all providers in zip 77702 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902449556 | Megan Bernadette Blass | Nurse Practitioner | 490 Interstate 10 N, Beaumont, TX 77702-1822 | 2019-10-25 |
| 1619913167 | Healthy Kids, L.l.c | Nurse Practitioner | 1277 N Major Dr, Beaumont, TX 77706-4060 | 2006-06-22 |
| 1720168149 | Andrea Owens | Nurse Practitioner | 3455 Stagg Dr, Beaumont, TX 77701-4521 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629308 | Megan Marie Burson | Nurse Practitioner | 9002 Culebra Rd Unit 100, San Antonio, TX 78251-2873 | 2020-11-04 |
| 1275134355 | Trevor Hill | Nurse Practitioner | 19708 Northwest Fwy Ste 500, Jersey Village, TX 77065-5626 | 2020-11-04 |
| 1346849817 | Abbie Leigh Collins | Nurse Practitioner | 4499 Medical Dr Ste 289, San Antonio, TX 78229-3712 | 2020-10-25 |
| 1770182636 | Jenna Donlon | Nurse Practitioner | 3201 Western Center Blvd Ste 125, Fort Worth, TX 76137-7135 | 2020-10-21 |
| 1356949697 | Elizabeth Danielle Harrington | Nurse Practitioner | 213 Woodbine Dr, Burleson, TX 76028-6175 | 2020-10-09 |
| 1780291229 | Alexandra Messer | Nurse Practitioner | 6435 S Farm To Market, #201, Heath, TX 75032 | 2020-09-29 |
| 1679189567 | Jessica Dawn Crow | Nurse Practitioner | 801 Nuthatch Ct, Northlake, TX 76226-2863 | 2020-09-16 |
| 1457965436 | Jeanan Alameddine | Nurse Practitioner | 823 Catalpa Pl, Missouri City, TX 77459-5709 | 2020-09-07 |
| 1073127080 | Thelma Ivy Reyesmcchesney | Nurse Practitioner | 163 Village East Dr, Los Fresnos, TX 78566-3104 | 2020-09-07 |
| 1760095251 | Chelsey Jensen Bailey | Nurse Practitioner | 433 Sagebrush Dr, Aledo, TX 76008-1340 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
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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.