Active NPI
Sherry Bulten, MD
- Family Medicine Physician
- Humboldt, IA
National Provider Identifier
1710959937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21563
- Practice address
- 1010 15TH St N
Humboldt, IA 50548-1008 - Phone
- (515) 332-2015
- NPI assigned
- Feb 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 21563 | IA | Primary |
Addresses
Primary practice location
1010 15TH St N
Humboldt, IA 50548-1008
Mailing address
24 N 9TH St
Suite a
Fort Dodge, IA 50501-3909
Phone (515) 574-6890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21563 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1710959937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 N 9TH ST",
"address_2": "SUITE A",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "505013909",
"telephone_number": "515-574-6890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 15TH ST N",
"city": "HUMBOLDT",
"state": "IA",
"postal_code": "505481008",
"telephone_number": "515-332-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULTEN",
"first_name": "SHERRY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "21563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humboldt, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.