KATHLEEN BULLER NP
NPI 1083623128
Nurse Practitioner - Pediatrics in Grand Rapids, MI

Active since August 07, 2006
730 GRANDVILLE AVE SW, GRAND RAPIDS, MI 49503(616) 913-8400(616) 742-1322 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen Buller Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN BULLER NP (NPI 1083623128) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (4704096205) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1083623128
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKATHLEEN BULLERCredential: NP
Location Address730 GRANDVILLE AVE SWGrand Rapids, MI 49503-4920
Mailing Address245 State St SeGrand Rapids, MI 49503-4328 · (616) 913-1808 · Fax (616) 913-1818
Fax(616) 742-1322
Sole ProprietorNo
Enumeration DateAugust 7, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1083623128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in MI · 4704096205
730 GRANDVILLE AVE SW, Grand Rapids, MI 49503

Other Identifiers 3

Medicaid4636819MI
Medicare ID-Type UnspecifiedN26180013MI
Medicaid4925188MI

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Family Medicine
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Physician Assistant
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Clinic/Center (Federally Qualified Health Center (FQHC))
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Dietitian, Registered
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Physician Assistant
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Family Medicine
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Family Medicine
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503

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 Kathleen Buller's NPI number?

The NPI number for Kathleen Buller is 1083623128. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Kathleen Buller located?

Kathleen Buller practices at 730 Grandville Ave SW, Grand Rapids, MI 49503. The listed phone number is (616) 913-8400.

What is Kathleen Buller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Kathleen Buller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.