Active NPI
John Michael Ulysses Dulko, RN
- Student in an Organized Health Care Education/Training Program
- Bothell, WA
National Provider Identifier
1003751892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- R263089
- Practice address
- 19125 N Creek Pkwy Ste 120
Bothell, WA 98011-8000 - Phone
- (971) 203-2114
- NPI assigned
- Apr 20, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | R263089 | MD | Primary |
Addresses
Primary practice location
19125 N Creek Pkwy Ste 120
Bothell, WA 98011-8000
Mailing address
PSC 201 Box 1108
Fpo, AA 34010-0012
Phone (516) 578-8920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R263089 | MD | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1003751892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "PSC 201 BOX 1108",
"city": "FPO",
"state": "AA",
"postal_code": "340100012",
"telephone_number": "516-578-8920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19125 N CREEK PKWY STE 120",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980118000",
"telephone_number": "971-203-2114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULKO",
"first_name": "JOHN",
"middle_name": "MICHAEL ULYSSES",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-20",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MD",
"license": "R263089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.