Individual provider Active NPI

Lisa Ann Bullard, DNP ACNPC-AG

  • Acute Care Nurse Practitioner
  • Reno, NV
National Provider Identifier
1619647831
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
842826 Issued in NV
Practice address
3101 Plumas St
Reno, NV 89509-4515
Phone
(877) 279-5960
Fax
(877) 384-3106
NPI assigned
Sep 18, 2021
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 842826 NV Primary
Adult Health Nurse Practitioner 363LA2200X 842826 NV
Gerontology Nurse Practitioner 363LG0600X 842826 NV

Addresses

Primary practice location

3101 Plumas St
Reno, NV 89509-4515

Mailing address

3771 Kepler Dr
Sparks, NV 89436-7184
Phone (775) 842-9511

Other names 1

  • Lisa Herring Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20211021001099 NV Practitioner - Nurse Practitioner 3678524964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH Specialty Services NV Requeijo PCGroup PAC ID 7618341926, 22 clinicians
Curana Health of Nevada PLLCGroup PAC ID 0648515262, 13 clinicians

Practice addresses (Care Compare)

1001 Mountain St
Carson City, NV 89703-3848
Phone (337) 991-9276

5351 Montessouri St
Las Vegas, NV 89113-1126
Phone (737) 226-6700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
842826NVMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services NV Requeijo PC Multi-Specialty CurrentSince Jul 5, 2024 Accepting new patients
Curana Health of Nevada PLLC Multi-Specialty CurrentSince Jul 5, 2024 Accepting new patients

Locations

1001 Mountain St
Carson City, NV 89703
Phone (775) 222-0045

5351 Montessouri St
Las Vegas, NV 89113
Phone (702) 251-2200

3101 Plumas St
Reno, NV 89509
Phone (775) 433-2700

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1631923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1619647831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3771 KEPLER DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894367184",
            "telephone_number": "775-842-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 PLUMAS ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094515",
            "telephone_number": "877-279-5960",
            "fax_number": "877-384-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "DNP ACNPC-AG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-18",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NV",
            "license": "842826",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NV",
            "license": "842826",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "842826",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HERRING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.