JUDITH E BULLUCK (NPI# 1386899177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386899177 |
| Entity Type | Individual |
| Full Name | JUDITH E BULLUCK |
| Credential | RN |
| Practice Address |
815 W Rock Pl Glendale WI 53209-6529 |
| Practice Telephone | 4147089664 |
| Mailing Telephone | 4147089664 |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
90965-030 | WI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | RN | 90965-030 | 01 |
| Street Address |
815 W ROCK PL |
| City | GLENDALE |
| State | WI |
| Zip Code | 53209-6529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Find all providers in zip 53209 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033764824 | Renee Alexandra Matysik | Registered Nurse | 7111 N Rockledge Ave, Glendale, WI 53209-2943 | 2019-08-07 |
| 1578869533 | Lite Solutions Medical Staffing LLC | Registered Nurse | 13610 N 51st Ave Apt 203, Glendale, AZ 85304-1413 | 2011-02-08 |
| 1750684072 | Frances Nuval Ong | Registered Nurse | 512 East Wilson Avenue, Suite 400, Glendale, CA 91206-4351 | 2010-12-08 |
| 1578739702 | Lyndon Dayao Avelino | Registered Nurse | 7230 W Lamar Rd, Glendale, AZ 85303-7617 | 2008-05-07 |
| 1881678886 | Cqi Homecare Inc | Registered Nurse | 520 E Wilson Ave, Ste 230, Glendale, CA 91206 | 2005-12-02 |
| 1114588357 | Marlon Connell Hood II | Registered Nurse | 500 W Silver Spring Dr Ste K200, Glendale, WI 53217-5052 | 2019-06-27 |
| 1669971933 | Jubilant Care LLC | Registered Nurse | 500 W Silver Spring Dr Ste K200, Glendale, WI 53217-5052 | 2018-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033717111 | Emilie S Steiner | Registered Nurse | 1121 River Place Blvd, Waukesha, WI 53189-7871 | 2020-10-12 |
| 1447858733 | Kelly Wendt | Registered Nurse | 204 Morrissey Dr, North Prairie, WI 53153-9732 | 2020-10-09 |
| 1942815683 | Catherine Mary Waldvogel | Registered Nurse | W8046 Moose Lake Rd, Antigo, WI 54409-8961 | 2020-09-10 |
| 1407468176 | Pageen Manolis Small | Registered Nurse | 308 Owen Rd, Monona, WI 53716-3526 | 2020-08-23 |
| 1932717410 | Paulette Jo Whalen | Registered Nurse | W267s7535 Olympia Ct N, Waukesha, WI 53189-9637 | 2020-07-21 |
| 1760009419 | Kerstin Leslie Nedegaard | Registered Nurse | W1080 Mohawk Valley Rd, Stoddard, WI 54658-9025 | 2020-06-29 |
| 1477177079 | Chanelle Anshela Causey | Registered Nurse | 3840 N 57th St, Milwaukee, WI 53216-2216 | 2020-05-31 |
| 1093339756 | April Schoeller | Registered Nurse | 4327 Huntinghorne Dr, Janesville, WI 53546-3541 | 2020-05-28 |
| 1255954822 | Karen M Johnson | Registered Nurse | 7555 Franklin St, Iron River, WI 54847-3420 | 2020-05-18 |
| 1487276705 | Monica Lynn Paar | Registered Nurse | 21343 Wolfe Run Ln Apt 3a, Galesville, WI 54630-8794 | 2020-05-08 |
| 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.