Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MIKAYLA PULLIAM MD
NPI 1467207969
Student in an Organized Health Care Education/Training Program in Grand Junction, CO

Active since April 19, 2024PECOS Enrolled
2635 N 7TH ST, GRAND JUNCTION, CO 81501(505) 412-8736 Get Directions Write a Review

NPPES record last updated: August 1, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 1, 2026, Apr 19, 2024 (2 updates tracked since 2024).

About Mikayla Pulliam Md NPPES

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

MIKAYLA PULLIAM MD (NPI 1467207969) is an individual student in an organized health care education/training program in Grand Junction, Colorado, licensed in New Mexico (RS2026-0277) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467207969
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMIKAYLA PULLIAMCredential: MD
Location Address2635 N 7TH STGrand Junction, CO 81501-8209
Mailing Address1429 Adams St NeAlbuquerque, NM 87110-5046 · (505) 412-8736
Sole ProprietorYes
Enumeration DateApril 19, 2024
Last NPPES UpdateAugust 1, 20262 updates tracked since enumeration
NPPES CertifiedAugust 1, 2026
NPI 1467207969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in NM · RS2026-0277
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2635 N 7TH ST, Grand Junction, CO 81501

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mikayla Pulliam Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Physical Therapist
2635 N 7TH ST
GRAND JUNCTION, CO 81501
Radiology (Diagnostic Radiology)
2635 N 7TH ST
GRAND JUNCTION, CO 81501
Radiology Practitioner Assistant
2635 N 7TH ST
GRAND JUNCTION, CO 81501
Student in an Organized Health Care Education/Training Program
2635 N 7TH ST
GRAND JUNCTION, CO 81501
Pediatrics (Neonatal-Perinatal Medicine)
2635 N 7TH ST
GRAND JUNCTION, CO 81501
Radiology (Diagnostic Radiology)
2635 N 7TH ST
GRAND JUNCTION, CO 81501
Emergency Medicine (Emergency Medical Services)
2635 N 7TH ST
GRAND JUNCTION, CO 81501
Nurse Practitioner
2635 N 7TH ST
GRAND JUNCTION, CO 81501

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 Mikayla Pulliam's NPI number?

The NPI number for Mikayla Pulliam is 1467207969. It was assigned to this individual provider in the NPPES registry on April 19, 2024.

Where is Mikayla Pulliam located?

Mikayla Pulliam practices at 2635 N 7th St, Grand Junction, CO 81501. The listed phone number is (505) 412-8736.

What is Mikayla Pulliam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mikayla Pulliam enrolled in Medicare?

Yes. Mikayla Pulliam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mikayla Pulliam was last updated on August 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.