Individual provider Active NPI

Brittany Pulliam, NP

  • Family Nurse Practitioner
  • Carmel, IN
National Provider Identifier
1265108161
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012129A Issued in IN
Practice address
13400 N Meridian St Ste 302
Carmel, IN 46032-7104
Phone
(317) 415-6050
Fax
(317) 415-6060
NPI assigned
Aug 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71012129A IN Primary
Family Nurse Practitioner 363LF0000X F07211219 IN

Addresses

Primary practice location

13400 N Meridian St Ste 302
Carmel, IN 46032-7104

Mailing address

13400 N Meridian St Ste 302
Carmel, IN 46032-7104
Phone (317) 415-6050

Other practice location 1

9001 Wesleyan Rd Ste 100
Indianapolis, IN 46268-1176
Phone (317) 497-5530

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brittany.pulliam.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220222002000 IN Practitioner - Nurse Practitioner 3678967346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

13400 N Meridian St
Suite 302
Carmel, IN 46032-7104
Phone (317) 415-6050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F07211219INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Jun 10, 2024 Accepting new patients
St. Vincent Medical Group, Inc. Family CurrentSince Jun 10, 2024 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

13400 N Meridian St
Ste 302
Carmel, IN 46032
Phone (317) 415-6050

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

Interoperability endpoints

  • Direct secure messaging: brittany.pulliam.1@7598.direct.athenahealth.com

Organizations & group practices 4

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1265108161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 N MERIDIAN ST STE 302",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327104",
            "telephone_number": "317-415-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 N MERIDIAN ST STE 302",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327104",
            "telephone_number": "317-415-6050",
            "fax_number": "317-415-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9001 Wesleyan Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462681176",
            "country_code": "US",
            "telephone_number": "317-497-5530",
            "fax_number": "855-422-5182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULLIAM",
        "first_name": "BRITTANY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012129A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F07211219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brittany.pulliam.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "13400 N Meridian St Ste 302",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460327104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.