Lisa Renee Bullard, BHRS-CM-CAF

Primary specialty

Social WorkerTaxonomy code 104100000X

License

CERTIFICATE 9760 Issued in OK

Practice address

2725 E Skelly Dr
Suite 202
Tulsa, OK 74105-6241

Phone

(918) 382-7300

Fax

(918) 494-4924

NPI assigned

Jun 11, 2007

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

Other names 1

• Lisa Renee Bell Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Creoaks Behavioral Health Services

  • Preferred Provider Organization
  • Tulsa, OK
  • NPI 1083052724
  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1760686281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7509 S TRENTON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367306",
            "telephone_number": "918-814-5676",
            "fax_number": "918-494-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 E SKELLY DR",
            "address_2": "SUITE 202",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056241",
            "telephone_number": "918-382-7300",
            "fax_number": "918-494-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "BHRS-CM-CAF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OK",
            "license": "CERTIFICATE 9760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BELL",
            "middle_name": "RENEE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lisa Mask Bull, M.D.
• Nicholas Bull, D.O.
• Ava Bullard
• Charles Bullard
• Edwin Peter Bullard, BCO, BADO
• Michelle S Bullard, B.C.O
• Robert Lee Bullard, PAC
• Stormy Lee Bullard, L.C.S.W.
• Shelly Buller, BHRS
• Lance Bullock, PHARM. D

• All providers in Tulsa, OK
• Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.