Precious Dominque Bullard

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

300807-1 Issued in NY

Practice address

160 Parkside Ave
Rochester, NY 14609-4915

Phone

(585) 284-9198

NPI assigned

Apr 15, 2010

Last updated

Apr 15, 2010By the provider in NPPES

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

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": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1588980528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 PARKSIDE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146094915",
            "telephone_number": "585-284-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 PARKSIDE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146094915",
            "telephone_number": "585-284-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "PRECIOUS",
        "middle_name": "DOMINQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "300807-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Bukowski
• Ranka Bulajic, M.D.
• Martha Bulger, LCSW
• Ashley Renea Bullard
• Leo Emmitt Bullard Jr.
• Patricia B Bullen, LCSW ACSW
• Bullet Transportion Inc
• Diane O Bullock, LPN
• Susan Bullock, RN
• Suzanne Jayne Bumpus, NP

• Licensed Practical Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.