NIDIA BULLARD (NPI# 1396191888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396191888 |
| Entity Type | Individual |
| Full Name | NIDIA BULLARD |
| Credential | CPNP |
| Practice Address |
175 Fulton Ave Ste 100 Hempstead NY 11550-3702 |
| Mailing Address |
222 Station Plz N Ste 611 Mineola NY 11501-3893 |
| Practice Telephone | 5162921034 |
| Practice Fax Number | 5162920565 |
| Mailing Telephone | 5162921034 |
| Mailing Fax Number | 5162920565 |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2018-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
F382580 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
175 FULTON AVE STE 100 |
| City | HEMPSTEAD |
| State | NY |
| Zip Code | 11550-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104837293 | Chrysanthe Petras | Emergency Medicine | 175 Fulton Ave Ste 100, Hempstead, NY 11550-3702 | 2006-08-11 |
| 1477967065 | Okyro Candelaria Claudio | Pediatrics | 175 Fulton Ave Ste 100, Hempstead, NY 11550-3702 | 2014-06-11 |
| 1831345743 | Wendy Chan | Pediatrics | 175 Fulton Ave Ste 100, Hempstead, NY 11550-3702 | 2008-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505720 | Karla Louelle Timbol Casino | Physical Therapist | Synergy Health Medical Solutions PC, 95 Clinton St, Hempstead, NY 11550 | 2020-07-16 |
| 1942790720 | Move Better Physical Therapy Pllc | Clinic/Center | 135 Clinton St Unit Lb4, Hempstead, NY 11550 | 2018-05-16 |
| 1962929687 | Selina Mahadeo | Licensed Practical Nurse | 1234 Hempstead Ave, Hempstead, NY 11550 | 2017-08-23 |
| 1023544145 | Ann Marie Clarke | Registered Nurse | 12 Saint Pl, Hempstead, NY 11550 | 2017-05-10 |
| 1902330053 | Yamillette Kinard | Specialist | 18 Mitchell Ct, Hempstead, NY 11550 | 2017-04-16 |
| 1356726293 | Mercy Medical Center | Community/Behavioral Health | 506 Stewart Avenue, Garden City, NY 11550 | 2015-07-21 |
| 1053798108 | Kadia Chisholm | Licensed Practical Nurse | 50 Clinton Street (suite 601), Hempstead, NY 11550 | 2015-04-28 |
| 1558757658 | Oti Management Consulting, Inc | Community/Behavioral Health | 50 Clinton St Suite 205 Rm2, Hempstead, NY 11550 | 2015-04-15 |
| 1578969333 | Kadiatu Koroma | Licensed Practical Nurse | 100 Terrace Ave, Apt. 555, Hempstead, NY 11550 | 2014-11-06 |
| 1669895363 | Debbie Smith Pt Pllc | Physical Therapist | 36 Cathedral Avenue, 6e, Hempstead, NY 11550 | 2014-01-31 |
| Find all providers in zip 11550 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407418049 | Amanda Tomi Hoang | Nurse Practitioner | 609 Fulton Ave, Hempstead, NY 11550-4540 | 2019-07-03 |
| 1245477595 | Gina Ann Galante | Nurse Practitioner | 201 President St, Hempstead, NY 11550-4718 | 2009-01-08 |
| 1265517221 | Michelle Renee Michitsch | Nurse Practitioner | 175 Fulton Ave, Suite 100, Hempstead, NY 11550-3718 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709821 | Shu-heng Wang | Nurse Practitioner | 7324 18th Ave, Brooklyn, NY 11204-5678 | 2020-10-29 |
| 1952909012 | Marina Byshovets | Nurse Practitioner | 164 Admiralty Loop, Staten Island, NY 10309-3964 | 2020-10-12 |
| 1700483799 | Dmitry Pediatrics, Pediatric Nurse Practitioner PC | Nurse Practitioner | 10 Shore Blvd Apt 1g, Brooklyn, NY 11235-4022 | 2020-10-03 |
| 1427664572 | Leigh Ann Cohen | Nurse Practitioner | 2 Lincoln Ave Ste 301, Rockville Centre, NY 11570-5775 | 2020-09-23 |
| 1295341436 | Tatiana Margaret Masone | Nurse Practitioner | 3142 Victory Blvd, Staten Island, NY 10314-6717 | 2020-09-22 |
| 1992311567 | Jyneva W Pickel | Nurse Practitioner | 3959 Broadway Rm 722, New York, NY 10032-1559 | 2020-09-19 |
| 1902410186 | Katie Elise Boyd | Nurse Practitioner | 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 | 2020-09-03 |
| 1437763877 | Tiffany Yu | Nurse Practitioner | 1746 W 12th St, Brooklyn, NY 11223-1101 | 2020-09-02 |
| 1134733710 | Khristan Heagle Haller | Nurse Practitioner | 20 Locust Ln, Bronxville, NY 10708-4933 | 2020-09-01 |
| 1831703412 | Marijana Waite | Nurse Practitioner | 6544 Saunders St Apt A7, Rego Park, NY 11374-4209 | 2020-09-01 |
| 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.