Erin E Bultema

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

727 Miller Ave
Ann Arbor, MI 48103-3367

Phone

(734) 209-3727

NPI assigned

Oct 18, 2010

Last updated

Jul 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://arrprd.metrohealth.net/fhir/api/FHIR/R4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Packard Health, Inc.

  • Clinic/Center
  • Ann Arbor, MI
  • NPI 1609988245
  Medicare reassignment NPD
• Packard Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ypsilanti, MI
  • NPI 1205538584
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1033429576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 CARPENTER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 MILLER AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033367",
            "telephone_number": "734-209-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULTEMA",
        "first_name": "ERIN",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine R. Harris Bullard, MSW
• Nicole Elizabeth Buller
• Seth Loren Buller, MD
• Timothy Sean Bullock II, MD
• Arnold Bulos, O.D.
• Rebecca Anne Bumgardner, BCBA
• Lilian Bunag
• Amanda Margaret Bunagan, CRNA
• Julius Edwin Bunek II, D.D.S.
• Sabiha Sayed Bunek, D.D.S.

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.