Individual provider Active NPI

Heather Bulloch, CNP

  • Family Nurse Practitioner
  • Norman, OK
National Provider Identifier
1962985861
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
81534 Issued in OK
Practice address
3440 RC Luttrell Dr Ste 200
Norman, OK 73072-9005
Phone
(405) 360-1264
Fax
(405) 321-8683
NPI assigned
Sep 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 81534 OK Primary

Addresses

Primary practice location

3440 RC Luttrell Dr Ste 200
Norman, OK 73072-9005

Mailing address

3440 RC Luttrell Dr Ste 200
Norman, OK 73072-9005
Phone (405) 360-1264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181112002434 OK Practitioner - Nurse Practitioner 5496009375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman Regional Providers Specialty CareGroup PAC ID 5496900706, 143 clinicians

Practice addresses (Care Compare)

3440 RC Luttrell Dr
Suite 200
Norman, OK 73072-9005
Phone (405) 360-1264

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
81534OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Regional Providers Specialty Care CurrentSince Jan 1, 2025 Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients

Locations

500 E Robinson St
Ste 2400
Norman, OK 73071
Phone (405) 360-1264

3440 Rc Luttrell Dr
Ste 200
Norman, OK 73072
Phone (405) 360-1264

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

Interoperability endpoints

  • Direct secure messaging: heather.bulloch@nrh.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1962985861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 RC LUTTRELL DR STE 200",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730729005",
            "telephone_number": "405-360-1264",
            "fax_number": "405-321-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 RC LUTTRELL DR STE 200",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730729005",
            "telephone_number": "405-360-1264",
            "fax_number": "405-321-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCH",
        "first_name": "HEATHER",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "81534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.