Kim Renee Pulliam, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3514 Issued in KY

Practice address

44 Water St
Owingsville, KY 40360-8944

Phone

(606) 674-9776

Fax

(606) 674-9708

NPI assigned

Mar 17, 2014

Last updated

Jun 24, 2016By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

• Direct secure messaging: kim.pulliam.1@25737.direct.athenahealth.com

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.

• Sterling Health Solutions, Inc

  • Federally Qualified Health Center (FQHC)
  • Mt Sterling, KY
  • NPI 1366790099
  Medicare reassignment NPD
• Sterling Health Solutions Inc

  dba Sterling Health Care - Paris

  • Federally Qualified Health Center (FQHC)
  • Paris, KY
  • NPI 1346087970
  NPD

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1215353081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 WATER ST",
            "city": "OWINGSVILLE",
            "state": "KY",
            "postal_code": "403608944",
            "telephone_number": "606-674-9776",
            "fax_number": "606-674-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 WATER ST",
            "city": "OWINGSVILLE",
            "state": "KY",
            "postal_code": "403608944",
            "telephone_number": "606-674-9776",
            "fax_number": "606-674-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIAM",
        "first_name": "KIM",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100331190",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherri S. Pergrem
• Mary Petitt, OTL
• Brittany Phillips, FNP
• Amy Piccaluga
• Santana Pierce
• Kayla Renee Purvis, NP
• Donna Randall
• Hollie M Rasche
• Casey Razor
• Ridgeway NRF Operations, LLC

• Clinical Social Worker in Owingsville, KY
• Providers in Owingsville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.