Active NPI
Dawn Kim Pullen, CRNP
- Primary Care Nurse Practitioner
- Westminster, MD
National Provider Identifier
1265476139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- R072251
- Practice address
- 1130 Baltimore Blvd
Westminster, MD 21157-7098 - Phone
- (410) 848-2170
- Fax
- (410) 876-2270
- NPI assigned
- Jun 15, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | R072251 | MD | Primary |
Addresses
Primary practice location
1130 Baltimore Blvd
Westminster, MD 21157-7098
Mailing address
12415 Preserve Way
Reisterstown, MD 21136-3533
Phone (410) 848-2170
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52430408 | Other | MD | CAREFIRST B/C B/S |
| R5130004 | Other | DC | CAREFIRST B/C B/S BLUE CH |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Specialty Center | Past | Accepting new patients | |
| Orthopaedic Specialty Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba OrthoMaryland
- Orthopaedic Surgery Physician
- Baltimore, MD
- NPI 1043553092
-
- Orthopaedic Surgery Physician
- Towson, MD
- NPI 1518090851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265476139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12415 PRESERVE WAY",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211363533",
"telephone_number": "410-848-2170",
"fax_number": "410-876-2270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 BALTIMORE BLVD",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211577098",
"telephone_number": "410-848-2170",
"fax_number": "410-876-2270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULLEN",
"first_name": "DAWN",
"middle_name": "KIM",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MD",
"license": "R072251",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST B/C B/S",
"identifier": "52430408",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST B/C B/S BLUE CH",
"identifier": "R5130004",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westminster, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.