MICHELLE ELIZABETH BULLOCK (NPI# 1861053472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861053472 |
| Entity Type | Individual |
| Full Name | MICHELLE ELIZABETH BULLOCK |
| Practice Address |
28 Midway St Bristol TN 37620-1706 |
| Practice Telephone | 4235739873 |
| Mailing Telephone | 4235739873 |
| Mailing Fax Number | 4235739875 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26085 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366865909 | Michelle Bullock | Home Health Aide | 5316 Haras Pl, Ft Washington, MD 20744-3053 | 2014-02-03 |
| 1487903662 | Michelle Starr Bullock | Counselor | 4217 Nw 22nd St, Oklahoma City, OK 73107 | 2012-09-05 |
| 1457864134 | Michelle Bullock | Technician/Technologist | 325 West St, Canandaigua, NY 14424-1787 | 2017-11-16 |
| 1841486107 | Michelle L. Bullock | Counselor | 2713 Lancaster Ave, Wilmington, DE 19805-5220 | 2007-09-20 |
| Street Address |
28 MIDWAY ST |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710981535 | James H. Schrenker | Family Medicine | 28 Midway St, Bristol, TN 37620-1706 | 2005-06-09 |
| 1336640473 | Patrick Allen Green | Health Educator | 28 Midway St, Bristol, TN 37620-1706 | 2018-02-23 |
| 1013440106 | Integrated Health Concepts, LLC | Clinical Nurse Specialist | 28 Midway St, Bristol, TN 37620-1706 | 2017-04-06 |
| 1609299130 | Highlands Urology | Urology | 28 Midway St, Ll Suite 1, Bristol, TN 37620-1706 | 2014-02-04 |
| 1346661865 | Pioneer Foot and Ankle Specialists | Podiatrist | 28 Midway St, Bristol, TN 37620-1706 | 2013-12-31 |
| 1437469822 | Heidi N Robella | Physician Assistant | 28 Midway St, Bristol, TN 37620-1706 | 2010-10-19 |
| 1689902306 | Brandy Paige Schrenker | Dietitian, Registered | 28 Midway St, Bristol, TN 37620-1706 | 2009-11-19 |
| 1073758868 | Integrated Health Concepts, LLC | Family Medicine | 28 Midway St, Bristol, TN 37620-1706 | 2008-12-08 |
| 1023228244 | Bristol Family Medical Center, Inc. | Family Medicine | 28 Midway St, Bristol, TN 37620-1706 | 2007-05-23 |
| 1043425689 | Rebecca Ellen Flora-waterman | Specialist | 28 Midway St, Bristol, TN 37620-1706 | 2007-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154921120 | Melissa Ann Mcnutt | Nurse Practitioner | 941 Windsor Ave, Bristol, TN 37620-2155 | 2020-10-29 |
| 1124633581 | Kristen L Viars | Nurse Practitioner | 501 Garden Ln, Bristol, VA 24201-1512 | 2020-09-12 |
| 1780295071 | Leslie Berryman | Nurse Practitioner | 901 Hill St, Bristol, TN 37620-2141 | 2020-08-11 |
| 1972134021 | Shonna Morenings | Nurse Practitioner | 200 Richmond Heights Rd, Bristol, TN 37620-6612 | 2020-01-28 |
| 1891347936 | Brittney O'hara | Nurse Practitioner | 350 Steeles Rd Ste 2, Bristol, TN 37620-9532 | 2019-07-09 |
| 1518524628 | Constance K Siekierski | Nurse Practitioner | 17 Platt St, Bristol, RI 02809-4317 | 2019-05-23 |
| 1477014827 | Mary Beth Foran | Nurse Practitioner | 1135 Columbia Rd, Bristol, TN 37620-4421 | 2019-03-28 |
| 1932663580 | Dana Lynn Mcdonnell | Nurse Practitioner | 415 Hart St, Bristol, CT 06010-2393 | 2019-01-29 |
| 1215405352 | Linda Carol Holmes | Nurse Practitioner | 1 Monarch Dr, Bristol, VA 24201-3138 | 2018-11-07 |
| 1922521608 | Connie A Bronson | Nurse Practitioner | 55020 Colonial Ridge Dr, Bristol, IN 46507-8901 | 2017-07-25 |
| Find all providers in BRISTOL | ||||
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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.