KRISTI A BULLOCK


Address: 5350 Eastern Ave., Davenport, IA 52807-2709
Phone: 5633551853

KRISTI A BULLOCK (NPI# 1760458178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760458178
Entity Type Individual
Full Name KRISTI A BULLOCK
Credential PA
Practice Address 5350 Eastern Ave.
Davenport
IA 52807-2709
Practice Telephone 5633551853
Practice Fax Number 5633591512
Mailing Telephone 5633551853
Mailing Fax Number 5633591512
Enumeration Date 2006-02-24
Last Update Date 2017-10-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 001204 IA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5350 EASTERN AVE.
City DAVENPORT
State IA
Zip Code 52807-2709

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255305082 P Jo Ann Neilson Nurse Practitioner 5350 Eastern Ave., Davenport, IA 52807-2709 2006-02-16
1255680484 Laura Elizabeth Sierra Advanced Practice Midwife 5350 Eastern Ave., Davenport, IN 52807-2709 2012-09-04
1154677193 Lydia Jeanne Swailes Advanced Practice Midwife 5350 Eastern Ave., Davenport, IA 52807-2709 2012-07-27
1497061261 Trisha L Nelson Nurse Practitioner 5350 Eastern Ave., Davenport, IA 52807-2709 2010-08-31
1699743492 Stacey L Flynn Nurse Practitioner 5350 Eastern Ave., Davenport, IA 52807-2709 2006-03-09
1306814108 Beth Carlson Advanced Practice Midwife 5350 Eastern Ave., Davenport, IA 52807-2709 2006-03-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710455423 Sarah Duvall Pharmacist 2790 East 53rd Street, Davenport, IA 52807 2018-11-12
1932686375 Costco Wholesale Corporation Hearing Aid Equipment 2790 East 53rd St., Davenport, IA 52807 2018-07-27
1902258379 Secure Dental II, LLC Dentist 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 2016-07-08
1003288663 Kristin Landram Pharmacist 4011 E 53rd Street, Davenport, IA 52807 2015-10-22
1912384918 Toshia Johnson Counselor 3515 Spring Street, Davenport, IA 52807 2015-04-29
1366849440 Dennis Aaron Brown Counselor 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 2014-12-04
1033514914 Rachel J Staron Counselor 2028 E 38th St Ste 3-5, Davenport, IA 52807 2014-11-04
1447651518 Anthony B. Dexter Chiropractor 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 2014-09-09
1932517588 Alan Christopher Rubach Dentist 3435 Spring St Ste 2, Davenport, IA 52807 2014-07-28
1851707459 Allison Maxwell Behavioral Analyst 4959 Utica Ridge Rd, Davenport, IA 52807 2014-07-03
Find all providers in zip 52807

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679189971 Amber Rae Rupiper Physician Assistant 518 Locus Street, Davenport, IA 52803 2020-09-22
1598371270 Samantha Delores Gartner Physician Assistant 518 W Locust St # 287, Davenport, IA 52803-2829 2020-09-18
1598229262 Katherine E. Asprey Physician Assistant 1800 E 54th St Ste B, Davenport, IA 52807-2852 2019-01-28
1588177182 Kelsey Alexandra Schaeffer Physician Assistant 2302 North Blvd W Ste A, Davenport, FL 33837-8923 2017-11-06
1467907360 Melina Norberto Physician Assistant 141 Webb Dr Ste 300, Davenport, FL 33837-3951 2016-08-20
1063815017 Carissa L Pardekooper Physician Assistant 1800 E. 54th Street, Ste B, Davenport, IA 52807-2763 2014-10-06
1548661457 Malwina Huzarska Physician Assistant 127 Oak Promenade Ct, Davenport, FL 33896-8163 2014-09-10
1871934851 Benjamin J Kolner Physician Assistant 3385 Dexter Ct Ste 103, Davenport, IA 52807-3471 2013-07-08
1528303799 Kajalben Patel Physician Assistant 2209 North Blvd W, Davenport, FL 33837-8903 2012-11-29
1710959622 Jose Luis Lizardi Physician Assistant 306 Hollingshead Loop, Davenport, FL 33896-7829 2006-02-03
Find all providers in DAVENPORT

Competitor

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City DAVENPORT
Zip Code 52807

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Dataset Information

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.

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