Active NPI
Christy Michelle Pullara, RN, BSN
- Registered Nurse
- Madison, WI
National Provider Identifier
1356691539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 164928-30
- Practice address
- 1110 Williamson St
Madison, WI 53703-3795 - Phone
- (815) 238-3082
- NPI assigned
- Sep 14, 2012
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 164928-30 | WI | Primary |
Addresses
Primary practice location
1110 Williamson St
Madison, WI 53703-3795
Mailing address
747 N Thompson Dr
Apt. #205
Madison, WI 53704-8620
Phone (608) 445-6949
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164928-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1356691539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 N THOMPSON DR",
"address_2": "APT. #205",
"city": "MADISON",
"state": "WI",
"postal_code": "537048620",
"telephone_number": "608-445-6949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 WILLIAMSON ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537033795",
"telephone_number": "815-238-3082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULLARA",
"first_name": "CHRISTY",
"middle_name": "MICHELLE",
"credential": "RN, BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-14",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "164928-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.