ANGELA KENNEDY BULLARD (NPI# 1730681495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730681495 |
| Entity Type | Individual |
| Full Name | ANGELA KENNEDY BULLARD |
| Credential | FNP-BC |
| Practice Address |
2701 Meredyth Dr Albany GA 31707-2267 |
| Practice Telephone | 2298837010 |
| Practice Fax Number | 2294354022 |
| Mailing Telephone | 2298837010 |
| Mailing Fax Number | 2294354022 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2019-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN192489 | GA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN192489 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2701 MEREDYTH DR |
| City | ALBANY |
| State | GA |
| Zip Code | 31707-2267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700879244 | Eleanor Sharon Davis | Advanced Practice Midwife | 2701 Meredyth Dr, Albany, GA 31707-2267 | 2005-08-30 |
| 1962034397 | Veranda Medical Group, LLC | Obstetrics & Gynecology | 2701 Meredyth Dr, Albany, GA 31707-2267 | 2020-02-04 |
| 1255784500 | Stacey Barnes | Nurse Practitioner | 2701 Meredyth Dr, Albany, GA 31707-2267 | 2016-07-21 |
| 1265815013 | Joyce Marie Monticino | Nurse Practitioner | 2701 Meredyth Dr, Albany, GA 31707-2267 | 2015-06-29 |
| 1801140769 | Tiffany Merritt Fallin | Nurse Practitioner | 2701 Meredyth Dr, Albany, GA 31707-2267 | 2012-10-31 |
| 1043576747 | Judy Y Yeh | Obstetrics & Gynecology | 2701 Meredyth Dr, Albany, GA 31707 | 2012-04-06 |
| 1609175272 | Brandon-luke Labron Seagle | Obstetrics & Gynecology | 2701 Meredyth Dr, Albany, GA 31707 | 2011-03-22 |
| 1013228568 | Elizabeth Joffrion Tye | Registered Nurse | 2701 Meredyth Dr, Albany, GA 31707-2267 | 2010-06-30 |
| 1154641637 | Jean M Jones | Physician Assistant | 2701 Meredyth Dr, Albany, GA 31707-2267 | 2010-06-07 |
| 1487842068 | Deborah C Cothran | Nurse Practitioner | 2701 Meredyth Dr, Albany, GA 31707-2267 | 2007-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396394011 | Barbara Cannon | Technician | 2025 Gail Avenue, Albany, GA 31707 | 2019-09-05 |
| 1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
| 1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
| 1225550957 | Christopher George Solomon | Nurse Practitioner | 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 | 2017-07-14 |
| 1689107229 | Teemercare @ Home LLC | Home Health | 1129 Dawson Rd Ste A, Albany, GA 31707 | 2017-04-11 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1003253139 | Bailey Healthcare Inc | Community/Behavioral Health | 2416 Suite B Westgate Dr, Albany, GA 31707 | 2013-05-30 |
| 1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
| Find all providers in zip 31707 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131583 | Mfon Bassey | Nurse Practitioner | 14 N Manning Blvd Apt B-25, Albany, NY 12206-1963 | 2020-10-09 |
| 1245837194 | Thomas W Mansfield | Nurse Practitioner | 425 W 3rd Ave Ste 410, Albany, GA 31701-1954 | 2020-10-05 |
| 1770199408 | April Mccluster | Nurse Practitioner | 2753 Bettys Dr, Albany, GA 31705-9510 | 2020-09-17 |
| 1457967317 | Cynthia Ann Chaney | Nurse Practitioner | 4546 Lacosta Dr, Albany, GA 31721-9433 | 2020-09-16 |
| 1083223135 | Jamila Cruz | Nurse Practitioner | 1758 Philema Rd S, Albany, GA 31701-4781 | 2020-07-24 |
| 1083239313 | Danajoy Melissa Vincent | Nurse Practitioner | 416 Partridge Dr, Albany, GA 31707-3038 | 2020-06-12 |
| 1033744602 | Rodesia Ashanta Woodson | Nurse Practitioner | 2504 Devon Dr, Albany, GA 31721-2128 | 2020-03-04 |
| 1972156057 | Kristen Lynn Cook | Nurse Practitioner | 2601 Stuart Ave Ste 100, Albany, GA 31707-1664 | 2019-07-18 |
| 1255992046 | Jennifer Lieberman | Nurse Practitioner | 1365 Washington Ave Ste 100, Albany, NY 12206-1098 | 2019-06-24 |
| 1053976993 | Amanda Bylsma | Nurse Practitioner | 5 Palisades Dr Ste 200, Albany, NY 12205-6433 | 2019-05-07 |
| Find all providers in ALBANY | ||||
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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.