Individual provider Active NPI

Barbara Jo Bullentini, R.N., C.H.T.P.

  • Registered Nurse
  • Bloomington, MN
National Provider Identifier
1346327699
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
091482-4 Issued in MN
Practice address
2501 W 84TH St
Bloomington, MN 55431-1602
Phone
(952) 888-4777
Fax
(952) 886-7561
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 091482-4 MN Primary

Addresses

Primary practice location

2501 W 84TH St
Bloomington, MN 55431-1602

Mailing address

2501 W 84TH St
Bloomington, MN 55431-1602
Phone (952) 888-4777

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
091482-4MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sweere Clinic LLC PastSince Sep 7, 2021 Accepting new patients
Northwestern Health Sciences University 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346327699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W 84TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311602",
            "telephone_number": "952-888-4777",
            "fax_number": "952-886-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W 84TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311602",
            "telephone_number": "952-888-4777",
            "fax_number": "952-886-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLENTINI",
        "first_name": "BARBARA",
        "middle_name": "JO",
        "credential": "R.N., C.H.T.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "091482-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

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.

Verify at the official NPI Registry.