MRS. TARA LEA BULLOCK ANP
NPI 1063410710
Nurse Practitioner - Family in London, AR
About Mrs. Tara Lea Bullock Anp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TARA LEA BULLOCK ANP (NPI 1063410710) is an individual family provider in London, Arkansas, licensed in Arkansas (A01514) and active in the NPI registry since July 2005. She has opted out of Medicare through April 1, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mrs. Tara Lea Bullock Anp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tara Bullock's NPI number?
The NPI number for Tara Bullock is 1063410710. It was assigned to this individual provider in the NPPES registry on July 7, 2005.
Where is Tara Bullock located?
Tara Bullock practices at Rr 1 Box 371A, London, AR 72847. The listed phone number is (479) 968-1245.
What is Tara Bullock's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tara Bullock enrolled in Medicare?
No. Tara Bullock has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Tara Bullock was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
