Janet M Bullock, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D1269 Issued in MS

Practice address

950 Matthew Dr
Waynesboro, MS 39367-2567

Phone

(601) 735-5151

Fax

(601) 735-7168

NPI assigned

May 28, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wayne General Hospital

  • Certified Registered Nurse Anesthetist
  • Waynesboro, MS
  • NPI 1093930638

  MS

  Medicare reassignment NPD
• Wayne General Hospital

  • Emergency Medicine Physician
  • Waynesboro, MS
  • NPI 1972728590
  NPD

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

{
    "created_epoch": "1306540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306540800000",
    "number": "1831483569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 MATTHEW DR",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672567",
            "telephone_number": "601-735-5151",
            "fax_number": "601-735-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 MATTHEW DR",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672567",
            "telephone_number": "601-735-5151",
            "fax_number": "601-735-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "JANET",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-28",
        "last_updated": "2011-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MS",
            "license": "D1269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "D1269",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelley Brand, D.P.M.
• Anna Brashier, RD
• Caitlyn Brett, DO
• Shelia A Britton, SLP
• Emmie Brunner, CMHT
• Blaine Bunch
• Tracey L Busby, PHYSICAL THERAPIST
• Julia Darlene Carney, LPTA
• Meagan Elizabeth Carpenter, M.D.
• Thomas Gerald Causey Jr., PTA

• All providers in Waynesboro, MS
• Registered Dietitian in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.