Kimberly Kay Pullen, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

18905 Sarichef Loop
Eagle River, AK 99577-8629

Phone

(907) 980-2566

NPI assigned

Jul 28, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311811200000",
    "number": "1134407992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18905 SARICHEF LOOP",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778629",
            "telephone_number": "907-980-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18905 SARICHEF LOOP",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778629",
            "telephone_number": "907-980-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLEN",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naysa Leigh Poshusta, D.V.M.
• Shannon Marie Post, PTA
• Jayme Kay Powers, LMT
• Julieann Pruitt
• Alexa Breanne Pullen, RD
• Rita Jane Purcell, CCC-SLP
• Heidi Quimby, MSW
• Melodie Celeste Radcliffe, BCBA
• Emily Grace Radewahn, BA, BCABA
• Shawna B Ragan, LCSW

• Mental Health Counselor in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Mental Health Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.