Bullitt County Family Practitioner

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BULLITT COUNTY FAMILY PRACTITIONER

Practice address

170 Dr Arla Way
Suite 4
Louisville, KY 40229-5427

Phone

(502) 955-8480

NPI assigned

Nov 8, 2021

Organization subpart

No

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

Authorized official

Name

Praveen V Arla, D.O.

Title

Vice President

Phone

(502) 418-9138

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10062806

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1336804905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 DR ARLA WAY",
            "address_2": "SUITE 4",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295427",
            "telephone_number": "502-955-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 DR ARLA WAY",
            "address_2": "SUITE 4",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295427",
            "telephone_number": "502-955-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLITT COUNTY FAMILY PRACTITIONER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "ARLA",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-418-9138",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blaine Hagen Bulinski, MD
• Kelli M. Bullard Dunn, MD
• Krista A Bullard, LCSW
• Nathan Michael Bullington, M.D.
• Janice Bullins, APRN
• Bullitt County Family Practitioners PSC
• Bullitt County Foot and Ankle Center
• Denita Bullock, RBT
• Justin Franklin Bullock
• Larry W. Bullock, PHARMACIST

• Clinical Medical Laboratory in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Medical Laboratory in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.