Individual provider Active NPI

Holly Elizabeth Bullion, FNP-C

  • Family Nurse Practitioner
  • Poulsbo, WA
National Provider Identifier
1720497126
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61556138 Issued in WA
Practice address
21906 NW Cascadian St
Poulsbo, WA 98370-9255
Phone
(919) 883-7783
NPI assigned
Aug 11, 2014
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP125742 TX
Family Nurse Practitioner 363LF0000X AP61556138 WA Primary

Addresses

Primary practice location

21906 NW Cascadian St
Poulsbo, WA 98370-9255

Mailing address

21906 NW Cascadian St
Poulsbo, WA 98370-9255
Phone (919) 883-7783

Other names 1

  • Holly Elizabeth Bennett Former name

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP125742TXMDFamily Nurse Practitioner
AP61556138WAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1720497126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21906 NW CASCADIAN ST",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709255",
            "telephone_number": "919-883-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21906 NW CASCADIAN ST",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709255",
            "telephone_number": "919-883-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLION",
        "first_name": "HOLLY",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125742",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61556138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "BENNETT",
            "middle_name": "ELIZABETH",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.