Individual provider Active NPI

Karla Bullen, LMP

  • Homeopath
  • Puyallup, WA
National Provider Identifier
1881862860
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomeopathTaxonomy code 175L00000X
License
MA00017611 Issued in WA
Practice address
9508 Canyon Rd E
Puyallup, WA 98371-6302
Phone
(253) 230-9845
Fax
(253) 537-8504
NPI assigned
Feb 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homeopath 175L00000X MA00017611 WA Primary

Addresses

Primary practice location

9508 Canyon Rd E
Puyallup, WA 98371-6302

Mailing address

14301 25TH Avenue CT E
Tacoma, WA 98445-4923
Phone (253) 230-9845

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
MA00017611WAMDHomeopath

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1881862860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14301 25TH AVENUE CT E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984454923",
            "telephone_number": "253-230-9845",
            "fax_number": "253-537-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9508 CANYON RD E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983716302",
            "telephone_number": "253-230-9845",
            "fax_number": "253-537-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLEN",
        "first_name": "KARLA",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": "WA",
            "license": "MA00017611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.