Active NPI
Evelina Joanna Bula
- Social Worker
- Waterbury, CT
National Provider Identifier
1346490455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 56 Church St
Waterbury, CT 06702-2103 - Phone
- (203) 755-1196
- Fax
- (203) 575-9675
- NPI assigned
- Sep 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
56 Church St
Waterbury, CT 06702-2103
Mailing address
447 Todd Rd
Wolcott, CT 06716-3132
Phone (203) 879-4475
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222300800000",
"number": "1346490455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "447 TODD RD",
"city": "WOLCOTT",
"state": "CT",
"postal_code": "067163132",
"telephone_number": "203-879-4475",
"fax_number": "203-879-4475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 CHURCH ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067022103",
"telephone_number": "203-755-1196",
"fax_number": "203-575-9675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULA",
"first_name": "EVELINA",
"middle_name": "JOANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-25",
"last_updated": "2008-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.