Katlynn Joy Diggs Bulle, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

26NP49774000 Issued in NJ

Practice address

780 Broadway Apt 2B
Newark, NJ 07104-4350

Phone

(551) 257-8829

NPI assigned

Jul 23, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1538997382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 BROADWAY APT 2B",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071044350",
            "telephone_number": "551-257-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 BROADWAY APT 2B",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071044350",
            "telephone_number": "551-257-8829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 Meridian Trl",
            "address_purpose": "LOCATION",
            "city": "Wall Township",
            "state": "NJ",
            "postal_code": "077193869",
            "country_code": "US",
            "telephone_number": "551-257-8829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087573756",
            "country_code": "US",
            "telephone_number": "551-257-8829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Bartley Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "NJ",
            "postal_code": "085271241",
            "country_code": "US",
            "telephone_number": "551-257-8829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Gordon St",
            "address_purpose": "LOCATION",
            "city": "Cliffwood",
            "state": "NJ",
            "postal_code": "077211068",
            "country_code": "US",
            "telephone_number": "551-257-8829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIGGS BULLE",
        "first_name": "KATLYNN",
        "middle_name": "JOY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NJ",
            "license": "NA200032952",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP49774000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamika S Dickey
• Rona Ellen Dickman, NP
• Christopher James Didzbalis, MD
• Elaine K Diegmann, CNM
• Arry Dieudonne, MD
• Dennis A. Digiacomo, M.D.
• Mary E Digiulio, ANP-BC
• Dereck L Dillard
• Paul Amil Dimitrey, DDS
• Marianne Nicole Dinapoli, M.D.

• Licensed Practical Nurse in Newark, NJ
• Providers in Newark, NJ by specialty
• Licensed Practical Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.