Cathy Bullock

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

1013863-1 Issued in IN

Practice address

2021 E 52ND St
Indianapolis, IN 46205-1486

Phone

(317) 490-5526

NPI assigned

Apr 26, 2016

Last updated

Apr 26, 2016By 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 3

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Source of Life Home Care LLC

  • In Home Supportive Care Agency
  • Indianapolis, IN
  • NPI 1871261982

  Attendant Care Provider

  NPD Authorized official

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1932554094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 E 52ND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051486",
            "telephone_number": "317-490-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 E 52ND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051486",
            "telephone_number": "317-490-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "CATHY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "IN",
            "license": "1013863-1",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "IN",
            "license": "1013863-1",
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "IN",
            "license": "1013863-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Elizabeth Bullard, DDS
• Sam Bullard, D.D.S., P.C.
• Krista Lynn Buller
• Sylas Marble Buller, DO
• Craig Daniel Bullington, MD
• Constance R Bullock, FNP-C
• D'Asia Bullock
• Heidi Lynn Bullock
• Kaylie Ashlynn Bullock, MD
• Mary Bullock

• Personal Care Attendant in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Personal Care Attendant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.