Kimberly Ruth Pulliam

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

SP021719 Issued in PA

Practice address

515 Hershey Ave
Lancaster, PA 17603-5752

Phone

(267) 212-3393

NPI assigned

Sep 6, 2024

Last updated

Sep 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1689409716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WENDOVER WAY",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176039610",
            "telephone_number": "267-212-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 HERSHEY AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176035752",
            "telephone_number": "267-212-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIAM",
        "first_name": "KIMBERLY",
        "middle_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP021719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlee Anne Psenicka
• Psychological Associates of Lancaster Inc
• Tiffany Sheree Pueschel, CNM
• Erica Sue Puffenberger, RPH
• Gianna Marie Puliti, LSW
• R Ward Pulliam, M.D.
• Pulmonary Associates of Lancaster, LTD
• Linzi Pummer
• Vasanti V. Puranik, DDS
• Zyerah Purcell

• Adult Health Nurse Practitioner in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.