Larry L Pulliam, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.0175277 Issued in CO

Practice address

2953 Circling Hawk St
Grand Junction, CO 81503-8306

Phone

(970) 623-2970

NPI assigned

Dec 24, 2013

Last updated

Dec 24, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1387843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387843200000",
    "number": "1285055921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2953 CIRCLING HAWK ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815038306",
            "telephone_number": "970-623-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2953 CIRCLING HAWK ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815038306",
            "telephone_number": "970-623-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIAM",
        "first_name": "LARRY",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-24",
        "last_updated": "2013-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.0175277",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "RN.210725 R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Psenda, AGPCNP
• Psychodynamics Professional LLC
• Psychological Associates of Western Co. P.C.
• Brittney G Pugh
• Kathleen L Pulchny, APRN-CNP
• Mikayla Pulliam, MD
• Winona R Pulliam
• Valerie Dianne Pulsipher, RN, BSN
• Pure Infusion of Colorado LLC
• Sarah Rebecca Purpura, ROT

• Registered Nurse in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2013; 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.