LISA MARIE BULLIS (NPI# 1558922492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558922492 |
| Entity Type | Individual |
| Full Name | LISA MARIE BULLIS |
| Other Name | LISA MARIE BETLEJ |
| Credential | MSN, APNP |
| Practice Address |
1032 E Sumner St Hartford WI 53027-1608 |
| Mailing Address |
740 Garvens Ave Brookfield WI 53005-7210 |
| Practice Telephone | 4147505114 |
| Mailing Telephone | 4147505114 |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2019-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 195913-30 | WI | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 9484 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
9484-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | WISCONSIN STATE BOARD OF NURSING | 195913-30 | 01 |
| WI | THE STATE OF WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SER | 9484-33 | 01 |
| WI | 100092474 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1032 E Sumner St, Hartford, WI 530271608 | 4147505114 | |
| 1640 E Sumner St, Hartford, WI 530272684 | 2626794461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558555243 | Lisa Bullis | Acupuncturist | 570 S Broadway, Denver, CO 80209-4002 | 2007-09-05 |
| Street Address |
1032 E SUMNER ST |
| City | HARTFORD |
| State | WI |
| Zip Code | 53027-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013908409 | James S Heinzen | Emergency Medicine | 1032 E Sumner St, Hartford, WI 53027-1608 | 2005-11-03 |
| 1568927853 | Christine Garms | Registered Nurse | 1032 E Sumner St, Hartford, WI 53027-1608 | 2019-01-31 |
| 1548724966 | Pamela Sue Feucht | Registered Nurse | 1032 E Sumner St, Hartford, WI 53027-1608 | 2019-01-30 |
| 1457815870 | Heidi Marie Morgan | Registered Nurse | 1032 E Sumner St, Hartford, WI 53027-1608 | 2019-01-30 |
| 1053889089 | Heidi Renee Lumina | Dietitian, Registered | 1032 E Sumner St, Hartford, WI 53027-1608 | 2018-11-07 |
| 1225565302 | Marianna M Herrera | Registered Nurse | 1032 E Sumner St, Hartford, WI 53027-1608 | 2017-05-19 |
| 1881144285 | Jaclyn Kitzinger | Nurse Practitioner | 1032 E Sumner St, Hartford, WI 53027-1608 | 2016-10-10 |
| 1336509652 | Ashley Gilson | Nurse Practitioner | 1032 E Sumner St, Hartford, WI 53027-1608 | 2016-02-29 |
| 1316323041 | Leslie Mueller-grady | Nurse Practitioner | 1032 E Sumner St, Wound Clinic, Hartford, WI 53027-1608 | 2015-08-04 |
| 1346505682 | Aurora M Lybeck | Emergency Medicine | 1032 E Sumner St, Hartford, WI 53027-1608 | 2012-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942792254 | Quad/med, LLC | Clinic/Center | 1900 W. Sumner Street, Hartford, WI 53027 | 2018-06-01 |
| 1700390242 | Dr. Espinosa Dds Tooth Or Gum, LLC | Dentist | 784 South Main St, Hartford, WI 53027 | 2017-11-20 |
| 1598169559 | Amy Jo Hoeppner | Registered Nurse | 1621 Falcon Dr., Hartford, WI 53027 | 2014-10-20 |
| 1205179918 | Susan Aleen Sterman | Technician | 4835 Cty Rd U, Hartford, WI 53027 | 2013-04-01 |
| 1881927713 | Ross Timothy Koehler | Specialist/Technologist | 1900 W Sumner St, Hartford, WI 53027 | 2009-09-10 |
| 1518130004 | Kamalpreet Dulai | Family Medicine | 110 Lone Oak Lane, Hartford, WI 53027 | 2008-04-07 |
| 1679775688 | Kelly M Schroeder | Physical Therapist | 1640 E. Sumner Street, Hartford, WI 53027 | 2007-06-01 |
| 1871794453 | Sandra Ann Weber | Registered Nurse | 4815 North Merton Drive, Hartford, WI 53027 | 2007-05-30 |
| 1306051743 | Agnes P Dietenberger | Physical Therapy Assistant | 1640 E. Sumner St., Hartford, WI 53027 | 2007-05-11 |
| 1164636619 | Robert W Fulton | Physical Therapist | 1640 East Sumner Street, Hartford, WI 53027 | 2007-05-10 |
| Find all providers in zip 53027 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275168478 | Laverne Sharisse Watts | Nurse Practitioner | 37 Alden St Apt L, Hartford, CT 06114-1018 | 2020-03-08 |
| 1285164111 | Sarah Elaine Yiznitsky | Nurse Practitioner | 2550 Main St Ste 205, Hartford, CT 06120-1936 | 2017-06-13 |
| 1285083139 | Debra Knisbeck | Nurse Practitioner | 626 Foxtail Dr, Hartford, WI 53027-2743 | 2016-06-10 |
| 1821327958 | Susan Chmael | Nurse Practitioner | Gray Cancer Ctr, 85 Retreat Ave, Hartford, CT 06160-0001 | 2009-12-21 |
| 1861726291 | Anne N Ntate | Nurse Practitioner | 410 Capitol Ave, Hartford, CT 06106-1367 | 2009-10-02 |
| 1669649588 | Elizabeth H Anderson | Nurse Practitioner | 67 Brownell Ave, Hartford, CT 06106-3302 | 2008-05-09 |
| 1417135195 | Ling Li | Nurse Practitioner | 3580 Main Street, Hartford, CT 06120 | 2008-02-05 |
| 1558429944 | Jean B Stielau | Nurse Practitioner | 85 Seymour St Ste 409, Hartford, CT 06106-5523 | 2006-12-05 |
| 1750315610 | Marie D'onofrio | Nurse Practitioner | 450 Columbus Blvd, Hartford, CT 06103-1801 | 2006-07-10 |
| 1487690418 | Karrie L Ellis | Nurse Practitioner | 1680 Albany Ave, Hartford, CT 06105 | 2006-06-20 |
| Find all providers in HARTFORD | ||||
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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.