MARLISA BULLOCK (NPI# 1134555139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134555139 |
| Entity Type | Individual |
| Full Name | MARLISA BULLOCK |
| Other Name | MARLISA BULLOCK |
| Credential | NP |
| Practice Address |
269 Gillman Rd Ste 100 Denver NC 28037-7923 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043164930 |
| Practice Fax Number | 7043164931 |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5011333 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704222885 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 32661 W. 13 Mile, Farmington Hills, MI 48334 | 3132687880 |
| Street Address |
269 GILLMAN RD STE 100 |
| City | DENVER |
| State | NC |
| Zip Code | 28037-7923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679550180 | Christopher Allyn Stiff | Urology | 269 Gillman Rd Ste 100, Denver, NC 28037-7923 | 2005-12-27 |
| 1871050682 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 269 Gillman Rd Ste 100, Denver, NC 28037-7923 | 2019-02-28 |
| 1699121053 | Rachel Lareau Storey | Family Medicine | 269 Gillman Rd Ste 100, Denver, NC 28037-7923 | 2016-05-04 |
| 1740599943 | Amanda Y Lee | Advanced Practice Midwife | 269 Gillman Rd Ste 100, Denver, NC 28037-7923 | 2010-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922619253 | Patricia Marie Froneberger | Massage Therapist | 751 N Nc 16, Suite C, Denver, NC 28037 | 2020-08-11 |
| 1326682907 | Wild Hearts Counseling and Wellness, Pllc | Counselor | 7472 Waterside Loop Dr., #114, Denver, NC 28037 | 2019-11-06 |
| 1316581408 | Laura O Wesson | Counselor | 7472 Waterside Loop Road, Denver, NC 28037 | 2019-10-31 |
| 1043712854 | Bryan T. Persinger Dds Pa II | Dentist | 175 Cross Center Road, Denver, NC 28037 | 2018-03-07 |
| 1962901934 | Laura Howard Burgess | Nurse Practitioner | 6127 Highway 16 South, Denver, NC 28037 | 2018-02-06 |
| 1649786716 | Vip Healthcare, Pllc | Internal Medicine | 294 Highway 16 N, Suite C, Denver, NC 28037 | 2017-12-27 |
| 1265944599 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 513 Brentwood Rd, Denver, NC 28037 | 2017-10-26 |
| 1831548106 | Christina Gliwa | Dentist | 175 Cross Center Rd, Denver, NC 28037 | 2016-06-08 |
| 1629340666 | Andrea E Garmon | Pharmacist | 6050 South North Carolina Highway 16, Denver, NC 28037 | 2012-02-07 |
| 1376830729 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7385 Nc 73 Hwy, Denver, NC 28037 | 2011-07-06 |
| Find all providers in zip 28037 | ||||
| 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 |
|---|---|---|---|---|
| 1295349462 | Katherine Pedersen | Nurse Practitioner | 3827 N Lafayette St, Denver, CO 80205-3339 | 2020-09-03 |
| 1659989465 | Jennifer Erin Buckwalter | Nurse Practitioner | 1415 Garfield St Apt 1, Denver, CO 80206-2760 | 2020-07-17 |
| 1194346601 | Tele Health Np | Nurse Practitioner | 3093 S Florence Ct, Denver, CO 80231-4719 | 2020-05-06 |
| 1467096008 | Dana Lynn Zimmerman Martin | Nurse Practitioner | 4400 Pine Harbor Dr, Denver, NC 28037-8664 | 2019-11-06 |
| 1275180432 | Katherine Marie Sabin | Nurse Practitioner | 100 Cook St Ste 412, Denver, CO 80206-5340 | 2019-08-22 |
| 1962901934 | Laura Howard Burgess | Nurse Practitioner | 6127 Highway 16 South, Denver, NC 28037 | 2018-02-06 |
| 1619417987 | Trier Abeyta | Nurse Practitioner | 6895 E. Hampden Ave., Denver, CO 80224-1309 | 2017-03-06 |
| 1073964664 | Elizabeth Mae Curie | Nurse Practitioner | 1125 17th St Ste 1000, Denver, CO 80202 | 2016-06-25 |
| 1013375856 | Teresa Trabert | Nurse Practitioner | 660 Bannock St # Mc4001, Denver, CO 80204-4506 | 2016-02-08 |
| 1386054385 | Kevin Bradley Murano | Nurse Practitioner | 357 S Corona St, Denver, CO 80209-2427 | 2014-04-30 |
| Find all providers in DENVER | ||||
Please comment or provide details below to improve the information on MARLISA BULLOCK.
| 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.