Individual provider Active NPI

Lindsay Bullman, MSN, APRN, FNP-BC

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1619501327
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11005137 Issued in FL
Practice address
3838 W Neptune St Unit D118
Tampa, FL 33629-5841
Phone
(813) 575-2501
NPI assigned
Mar 3, 2020
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11005137 FL Primary
Family Nurse Practitioner 363LF0000X SP027266 PA

Addresses

Primary practice location

3838 W Neptune St Unit D118
Tampa, FL 33629-5841

Mailing address

9943 Jonas Salk Dr Apt 209
Riverview, FL 33578-7448
Phone (304) 479-3541

Other practice location 1

10454 Stelling Drive
Riverview, FL 33578
Phone (813) 575-2411

Other practice location 2

125 2nd Ave N Ste C103
St Petersburg, FL 33701-3315
Phone (727) 306-0922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250625001635 FL Practitioner - Nurse Practitioner 3375055361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Pcma Palliative Division LLCGroup PAC ID 1456613637, 72 clinicians

Practice addresses (Care Compare)

4833 Fruitville Rd
Unit 101
Sarasota, FL 34232-1885
Phone (878) 201-3312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP027266PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pcma Palliative Division LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

2000 Cliffmine Rd
Ste 500
Pittsburgh, PA 15275
Phone (724) 766-0025

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1619501327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9943 JONAS SALK DR APT 209",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335787448",
            "telephone_number": "304-479-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 W NEPTUNE ST UNIT D118",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295841",
            "telephone_number": "813-575-2501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10454 Stelling Drive",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "33578",
            "country_code": "US",
            "telephone_number": "813-575-2411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 2nd Ave N Ste C103",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337013315",
            "country_code": "US",
            "telephone_number": "727-306-0922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULLMAN",
        "first_name": "LINDSAY",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11005137",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP027266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.