Jennifer R. Pulliam, M.D., F.A.A.P.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L7122 Issued in TX

Practice address

404 River Pointe Dr
Suite 100
Conroe, TX 77304-2836

Phone

(936) 756-8108

NPI assigned

Apr 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• TCH Pediatric Associates, Inc

  dba Texas Children's Pediatric Associates

  • Pediatrics Physician
  • Houston, TX
  • NPI 1225038326
  NPD (past)
• TCH Pediatric Associates, Inc

  dba TCP Grand Parkway

  • Pediatrics Physician
  • Sugar Land, TX
  • NPI 1861492654
  NPD (past)
• Centennial Valley Pediatrics, P.C.

  • Pediatrics Physician
  • Broomfield, CO
  • NPI 1447841903
  NPD (past)
• Centennial Valley Pediatrics, P.C.

  • Pediatrics Physician
  • Louisville, CO
  • NPI 1679554919
  NPD (past)
• Portercare Adventist Health System

  dba Adventhealth Avista

  • General Acute Care Hospital
  • Louisville, CO
  • NPI 1891709192
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1396702940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841969",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752841969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 RIVER POINTE DR",
            "address_2": "SUITE 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042836",
            "telephone_number": "936-756-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIAM",
        "first_name": "JENNIFER",
        "middle_name": "R.",
        "credential": "M.D., F.A.A.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L7122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psychiatry MD PLLC
• PT Priebe, PLLC (Pamela T Priebe, LPC)
• Lauren Puddy
• Karyn Renee Puente
• Beatrice Pugh, RN
• Pulmonary Critical Care and Sleep Associates, PA
• Nishanth Punjaala
• Tricia Punsalan, M.D.
• Motahar Qaadri, D.C.
• Qamar Umair PLLC

• Pediatrics Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.