KRISTIN MARIE BULKLEY (NPI# 1710179544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710179544 |
| Entity Type | Individual |
| Full Name | KRISTIN MARIE BULKLEY |
| Credential | R.D, L.D.N |
| Practice Address |
15728 S Route 59 Plainfield IL 60544-2693 |
| Practice Telephone | 8154368831 |
| Practice Fax Number | 8154366863 |
| Mailing Telephone | 8154368831 |
| Mailing Fax Number | 8154366863 |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2008-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | 164004687 | IL | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | 164004687 | IL | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD MEDICARE PTAN | P00186793 | 01 |
| IL | 164004687 | 05 |
| Street Address |
15728 S ROUTE 59 |
| City | PLAINFIELD |
| State | IL |
| Zip Code | 60544-2693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760545024 | Donald Williams | Nurse Practitioner | 15728 S Route 59, Plainfield, IL 60544-2693 | 2006-12-18 |
| 1275056418 | Leigh Agombar | Physician Assistant | 15728 S Route 59, Plainfield, IL 60544-2693 | 2017-07-19 |
| 1306206305 | Maria Elena Gallegos | Nurse Practitioner | 15728 S Route 59, Plainfield, IL 60544-2693 | 2016-03-03 |
| 1700031804 | Darlene P Peters | Nurse Practitioner | 15728 S Route 59, Plainfield, IL 60544-2693 | 2008-11-18 |
| 1174730659 | Gregory C Adams | Family Medicine | 15728 S Route 59, Plainfield, IL 60544-2693 | 2007-05-16 |
| 1285773051 | Rezin Orthopedic and Sports Medicine | Physical Medicine & Rehabilitation | 15728 S Route 59, Within Village Medical Center, Plainfield, IL 60544-2693 | 2007-02-06 |
| 1023157617 | Rezin Orthopedics and Sports Medicine, Sc | Durable Medical Equipment & Medical Supplies | 15728 S Route 59, Building 142, Plainfield, IL 60544-2693 | 2007-02-06 |
| 1174673826 | Corwin Medical Care Ltd | Clinic/Center | 15728 S Route 59, Plainfield, IL 60544-2693 | 2007-01-12 |
| 1013066257 | Wimol Ann Mitrakul | Family Medicine | 15728 S Route 59, Plainfield, IL 60544-2693 | 2007-01-09 |
| 1588713374 | Bruce C Corwin | Family Medicine | 15728 S Route 59, Plainfield, IL 60544-2693 | 2007-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706371 | Rakhi Shingala | Counselor | Legacy Clinical Consultant, 13717 S. Route 30, 159, Naperville, IL 60544 | 2020-10-08 |
| 1548875446 | Michael T Liacone | Counselor | 13550 Lincoln Hwy, Plainfield, IL 60544 | 2020-09-09 |
| 1700388758 | Christina Sincora | Speech-Language Pathologist | 15730 Howard Street, Plainfield, IL 60544 | 2018-03-06 |
| 1770085250 | Carol Ann Sotir | Nurse Practitioner | 14404 S Maple Court, Plainfield, IL 60544 | 2018-03-01 |
| 1912409434 | Sandra Henderson | Counselor | 24044 W Main St, Plainfield, IL 60544 | 2018-02-28 |
| 1073024576 | Jamie Mirocha Inc. | Clinic/Center | 24012 W Renwick Road, Plainfield, IL 60544 | 2017-10-24 |
| 1114463502 | Karen Fagan | Nurse Practitioner | 500 N Weber Road, Romeoville, IL 60544 | 2017-01-10 |
| 1558812057 | Fresenius Medical Care Plainfield North, LLC | Clinic/Center | 24024 West Riverwalk Ct., Plainfield, IL 60544 | 2016-10-19 |
| 1790131936 | Plainfield Pediatric Dental Care PC | Preferred Provider Organization | 13621 S. Rt 59, Unit 101, Plainfield, IL 60544 | 2016-05-06 |
| 1598152753 | Lauren Beall | Pharmacist | 2480 Route 59, Plainfield, IL 60544 | 2015-04-24 |
| Find all providers in zip 60544 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083166151 | Elizabeth Jemmotte | Dietitian, Registered | 831 Saint Marys Ave, Plainfield, NJ 07062-1627 | 2016-10-25 |
| 1629446786 | Suzanne Berkley | Dietitian, Registered | 25021 W Prairie Grove Dr, Plainfield, IL 60585-7883 | 2015-09-07 |
| 1073913737 | Carie Perrino | Dietitian, Registered | 4153 Oak Tree Ln, Plainfield, IL 60586-5935 | 2014-09-01 |
| 1962656421 | Rebecca Marie Blackler | Dietitian, Registered | 5313 Poplar Glen Ct, Plainfield, IL 60586-6620 | 2008-11-11 |
| 1366601098 | Catherine H Cricco | Dietitian, Registered | 364 Freeman Rd, Plainfield, NH 03781-5019 | 2008-06-06 |
| 1508823220 | Lara Hamilton | Dietitian, Registered | 24020 W Riverwalk Ct Ste 304, Plainfield, IL 60544-7103 | 2006-04-27 |
| 1356864383 | Anna Barasch | Dietitian, Registered | 157 Towne Ave, Plainfield, VT 05667-9425 | 2017-07-21 |
| 1700023033 | Way To Grow Nutrition Therapy, LLC | Dietitian, Registered | 22840 Eider Ct, Plainfield, IL 60585-4506 | 2009-01-08 |
| 1194774372 | Janice D Waterman | Dietitian, Registered | 157 Towne Ave, Plainfield, VT 05667-9425 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366726 | Frankie O'brien | Dietitian, Registered | 2551 N Clark St Ste 400, Chicago, IL 60614-7725 | 2020-11-04 |
| 1841891207 | Elizabeth Kristin Julius | Dietitian, Registered | 833 W Buena Ave Apt 1901, Chicago, IL 60613-6634 | 2020-11-03 |
| 1417556747 | Jamie Anne Mayhew | Dietitian, Registered | 2917 W 99th Pl, Evergreen Park, IL 60805-2641 | 2020-10-19 |
| 1033716345 | Efthemia Greco | Dietitian, Registered | 9654 Kelley Ln, Huntley, IL 60142-0058 | 2020-10-08 |
| 1679170203 | Lotus Therapy Group Inc | Dietitian, Registered | 112 Kansas St, Frankfort, IL 60423-1447 | 2020-10-06 |
| 1447857065 | Tran Huynh | Dietitian, Registered | 6126 N Rockwell St Apt 3, Chicago, IL 60659-2859 | 2020-10-06 |
| 1033716113 | Ulani Villanueva | Dietitian, Registered | 470 Pfingsten Road, Northbrook, IL 60062-2506 | 2020-10-02 |
| 1780281873 | Alyssa Marie Post | Dietitian, Registered | 3512 Rollingridge Rd, Naperville, IL 60564-8298 | 2020-10-02 |
| 1285231324 | Megan Rhodes | Dietitian, Registered | 539 Willowcreek Ct, Clarendon Hills, IL 60514-1693 | 2020-10-01 |
| 1508473711 | Susan Faith Madnek-oxman | Dietitian, Registered | 1051 Wade St, Highland Park, IL 60035-4153 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | PLAINFIELD |
| Zip Code | 60544 |
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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.