Amanda Betsy Kulka, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704253956 Issued in MI

Practice address

3510 Middlebury LN
Bloomfield Hills, MI 48301-4068

Phone

(248) 225-2965

NPI assigned

Feb 20, 2020

Last updated

Feb 20, 2020By 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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1831722511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 WATUGA ST",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483901067",
            "telephone_number": "248-260-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 MIDDLEBURY LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483014068",
            "telephone_number": "248-225-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULKA",
        "first_name": "AMANDA",
        "middle_name": "BETSY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704253956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Krot, DO
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• Julie Kwon, PH.D.
• Kynergy Home Care
• Lindsay C Laboda, LMSW
• Ashley Rachael Ladomer
• Lai Psychological Services LLC (Bloomfield Center for Psychology & Wellness)

• Registered Nurse in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.