MRS. SUSAN GIBBS BULLARD (NPI# 1669710687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669710687 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN GIBBS BULLARD |
| Credential | R.N, PHN |
| Practice Address |
14215 Road 28 Madera CA 93638-5729 |
| Practice Telephone | 5596628314 |
| Practice Fax Number | 5596757983 |
| Mailing Telephone | 5596754945 |
| Mailing Fax Number | 5596757983 |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2013-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN492295 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417131814 | Susan H Bullard | Social Worker | 125 Forrest St, Fort Mill, SC 29715-2341 | 2007-12-20 |
| 1518255686 | Susan Ashley Bullard | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2011-07-11 |
| 1972566420 | Susan Alice Bullard | Pharmacist | 508 Fulton St, Pharmacy Service (119), Durham, NC 27705-3875 | 2006-04-07 |
| 1386629129 | Susan Bullard | Pediatrics | 1815 W 6th Ave, Stillwater, OK 74074-4202 | 2005-12-14 |
| Street Address |
14215 ROAD 28 |
| City | MADERA |
| State | CA |
| Zip Code | 93638-5729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710107289 | Lori Schuman | Registered Nurse | 14215 Road 28, Madera, CA 93638-5715 | 2007-04-26 |
| 1225473200 | Dalene Roth | Registered Nurse | 14215 Road 28, Madera, CA 93638-5729 | 2013-05-06 |
| 1730442849 | Marimir Figueroa Estacio-kelly | Registered Nurse | 14215 Road 28, Madera, CA 93638-5729 | 2012-06-22 |
| 1336402593 | Biana Grogg | Registered Nurse | 14215 Road 28, Madera, CA 93638-5729 | 2012-06-21 |
| 1487917647 | Yvonne Yvette Mercado | Registered Nurse | 14215 Road 28, Madera, CA 93638-5729 | 2012-06-21 |
| 1558624924 | Evelyn L Marciel | Registered Nurse | 14215 Road 28, Madera, CA 93638-5729 | 2012-06-20 |
| 1932472792 | Shari D Stoops | Registered Nurse | 14215 Road 28, Madera, CA 93638-5715 | 2012-02-09 |
| 1033441381 | Norma Garcia | Counselor | 14215 Road 28, Madera, CA 93638 | 2010-02-10 |
| 1235369521 | Elsa A. Estrada | Registered Nurse | 14215 Road 28, Madera, CA 93638-5729 | 2009-07-21 |
| 1790914257 | Melody Jane Viacara-kellar | Registered Nurse | 14215 Road 28, Madera, CA 93638-5729 | 2009-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639644628 | Kevin Violette | Physician Assistant | 344 E Sixth Street, Madera, CA 93638 | 2018-10-05 |
| 1265939185 | Kimberly Lenise Bradley | Clinic/Center | 1159 Country Club Drive, Madera, CA 93638 | 2018-04-08 |
| 1255849584 | Cathy Castillo | Technician, Health Information | 2935113 1/2 Ave, Madera, CA 93638 | 2018-01-22 |
| 1164944195 | Xavier Pablo Garcia | Case Manager/Care Coordinator | 14241 Road, Madera, CA 93638 | 2017-07-12 |
| 1568982460 | Cruz Amelia Macias | Case Manager/Care Coordinator | 14241 Rd 28, Madera, CA 93638 | 2017-06-21 |
| 1144699588 | Joanna Arredondo | Counselor | 344 E. 6th St., Madera, CA 93638 | 2015-09-16 |
| 1144625997 | Pushkal Jadaun | Internal Medicine | 124 Sa Street, Madera, CA 93638 | 2014-10-22 |
| 1598022600 | Valarie Ann Shaffer | Counselor | 14227 Road 28, Madera, CA 93638 | 2012-04-13 |
| 1053555904 | Patricia Ann Alexander | Nurse Practitioner | 344 E. 4th St, Madera, CA 93638 | 2009-04-22 |
| 1629246913 | Lynn Doyle Cogdill | Technician, Other | 14427 Road 28, Madra, CA 93638 | 2008-02-20 |
| Find all providers in zip 93638 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225473200 | Dalene Roth | Registered Nurse | 14215 Road 28, Madera, CA 93638-5729 | 2013-05-06 |
| 1730442849 | Marimir Figueroa Estacio-kelly | Registered Nurse | 14215 Road 28, Madera, CA 93638-5729 | 2012-06-22 |
| 1336402593 | Biana Grogg | Registered Nurse | 14215 Road 28, Madera, CA 93638-5729 | 2012-06-21 |
| 1487917647 | Yvonne Yvette Mercado | Registered Nurse | 14215 Road 28, Madera, CA 93638-5729 | 2012-06-21 |
| 1558624924 | Evelyn L Marciel | Registered Nurse | 14215 Road 28, Madera, CA 93638-5729 | 2012-06-20 |
| 1235369521 | Elsa A. Estrada | Registered Nurse | 14215 Road 28, Madera, CA 93638-5729 | 2009-07-21 |
| 1790914257 | Melody Jane Viacara-kellar | Registered Nurse | 14215 Road 28, Madera, CA 93638-5729 | 2009-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361430 | Marilyn Dormubari Sunday | Registered Nurse | 7511 Clear Lake Aly, Sacramento, CA 95829-8743 | 2020-09-16 |
| 1992315451 | Michelle Patino | Registered Nurse | 615b 2nd St, Petaluma, CA 94952-5123 | 2020-08-08 |
| 1144846080 | Paloma Beope Soriano | Registered Nurse | 4302 Valeta St, San Diego, CA 92107-1510 | 2020-06-16 |
| 1942822747 | Holly Sears Chisholm | Registered Nurse | 9619 Cuyamaca St # 19428, Santee, CA 92071-2674 | 2020-05-14 |
| 1952937658 | Mariam Gbaty Soumahoro | Registered Nurse | 3800 Silver Spur Way, Sacramento, CA 95841-4411 | 2020-03-14 |
| 1194350967 | Letisha Kathleen Kingsbury | Registered Nurse | 724 Granada Dr, Vista, CA 92083-4731 | 2020-03-11 |
| 1215576236 | Jocelyn Raquel Raedeker-freitas | Registered Nurse | 3165 B St, San Diego, CA 92102-2359 | 2019-12-23 |
| 1861030710 | Michelle Galang | Registered Nurse | 658 Rainbow Dr, Chula Vista, CA 91911-6844 | 2019-12-11 |
| 1023655172 | David Delgado | Registered Nurse | 27425 Bolandra Ct, Temecula, CA 92591-6123 | 2019-12-09 |
| 1104473297 | Shokoufeh Shokri | Registered Nurse | 2951 Mainway Dr, Los Alamitos, CA 90720-4646 | 2019-08-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. SUSAN GIBBS BULLARD.
| 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.