Amanda Kay Bullat, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI 60133367 Issued in WA

Practice address

18495 Ballinger Way NE
Lake Forest Park, WA 98155-4238

Phone

(541) 647-9185

NPI assigned

Jul 6, 2013

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL, NC, AZ, VA, MI5 enrollments

Enrollment records 5

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
• Direct secure messaging: amanda.bullat.1@7773.direct.athenahealth.com

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.

• Florida Woman Care, LLC

  • Obstetrics & Gynecology Physician
  • Tampa, FL
  • NPI 1386823243
  Medicare reassignment NPD
• Genesis OB GYN PLLC

  • Obstetrics & Gynecology Physician
  • Tucson, AZ
  • NPI 1992994214
  Medicare reassignment NPD
• Mid-Atlantic Womens Care PLC

  • Obstetrics & Gynecology Physician
  • Virginia Beach, VA
  • NPI 1699365072
  Medicare reassignment NPD
• Uwh of Michigan PLC

  • Obstetrics & Gynecology Physician
  • East Lansing, MI
  • NPI 1982352357
  Medicare reassignment NPD
• Uwh of the Carolinas, PLLC

  • Obstetrics & Gynecology Physician
  • Morrisville, NC
  • NPI 1639506470
  Medicare reassignment NPD
• Genneve Medical P.C.

  • Gynecology Physician
  • Kirkland, WA
  • NPI 1336888163
  NPD (past)
• Metro Partners in Womens Health, PC

  • Obstetrics & Gynecology Physician
  • Novi, MI
  • NPI 1083601082
  NPD (past)
• Mid-Atlantic Womens Care PLC

  • Obstetrics & Gynecology Physician
  • Virginia Beach, VA
  • NPI 1851339246
  NPD (past)

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

{
    "created_epoch": "1373068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373068800000",
    "number": "1417398454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18495 BALLINGER WAY NE",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981554238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18495 BALLINGER WAY NE",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981554238",
            "telephone_number": "541-647-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLAT",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-06",
        "last_updated": "2013-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI 60133367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Being Human Therapy PLLC
• Michael Bell, PHARMD
• Eva Blum
• Thomas Boyce, MD
• Jessi Eden Brown, MS, LMHC, LPC, NCC
• Jaimie Burton, MED
• Melissa Carey
• Sarah Lee Carlton, OTR
• Mohinder Singh Cheema, MD
• Christine Ulrike Chmielewski, LMP

• Registered Dietitian in Lake Forest Park, WA
• Providers in Lake Forest Park, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.