Individual provider Active NPI

Ann Barbara Pullem, REGISTERED NURSE

  • Registered Nurse
  • Loveland, CO
National Provider Identifier
1851820351
Registry record updated Jun 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
166453 Issued in OH
Practice address
1569 State RT 28
Loveland, CO 45140
Phone
(513) 575-0968
Fax
(513) 575-1019
NPI assigned
Jun 8, 2017
Last updated
Jun 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 166453 OH Primary

Addresses

Primary practice location

1569 State RT 28
Loveland, CO 45140

Mailing address

1569 State RT 28
Adams Recovery Center
Loveland, OH 45140
Phone (513) 575-0968

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
166453OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
L&J Healthcare, LLC PastSince Feb 1, 2019 Accepting new patients
L&J Healthcare Dba Adams Recovery Center, LLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1851820351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 STATE RT 28",
            "address_2": "ADAMS RECOVERY CENTER",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "45140",
            "telephone_number": "513-575-0968",
            "fax_number": "513-575-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 STATE RT 28",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "45140",
            "telephone_number": "513-575-0968",
            "fax_number": "513-575-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLEM",
        "first_name": "ANN",
        "middle_name": "BARBARA",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "166453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; 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.