Organization Active NPI

Bulu Freedom

  • Nutritionist
  • Tampa, FL
National Provider Identifier
1497357404
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
BULU FREEDOM
Practice address
10024 Strafford Oak CT Apt 817
Tampa, FL 33624-5153
Phone
(813) 812-0459
NPI assigned
Nov 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Authorized official

Name
Lapoloean Washington, PT, NUTRITIONISTNPI 1013519032
Title
Ceo
Phone
(813) 812-0459

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Respiratory/Developmental/Rehabilitative Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 225500000X
Dance TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225600000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X
Music TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225A00000X

Addresses

Primary practice location

10024 Strafford Oak CT Apt 817
Tampa, FL 33624-5153

Mailing address

10024 Strafford Oak CT Apt 817
Tampa, FL 33624-5153
Phone (813) 812-0459

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BULU@BULUFreedom.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1497357404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10024 STRAFFORD OAK CT APT 817",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245153",
            "telephone_number": "813-812-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 STRAFFORD OAK CT APT 817",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245153",
            "telephone_number": "813-812-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULU FREEDOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "LAPOLOEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-812-0459",
        "authorized_official_credential": "PT, NUTRITIONIST"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dance Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BULU@BULUFreedom.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "10024 Strafford Oak Ct Apt 817",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336245153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.