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AMANDA BULLOCK RN
NPI 1669300125
Registered Nurse - School in Wisconsin Rapids, WI

Active since May 13, 2026
611 TWO MILE AVE, WISCONSIN RAPIDS, WI 54494(715) 424-6793(715) 424-6794 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Amanda Bullock Rn NPPES

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

AMANDA BULLOCK RN (NPI 1669300125) is an individual school provider in Wisconsin Rapids, Wisconsin, licensed in Wisconsin (258475-30) and active in the NPI registry since May 2026. She maintains 6 additional practice locations.

NPPES Registry Identity

NPI1669300125
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameAMANDA BULLOCKCredential: RN
Location Address611 TWO MILE AVEWisconsin Rapids, WI 54494-6560
Mailing Address611 Two Mile AveWisconsin Rapids, WI 54494-6560 · (715) 424-6793 · Fax (715) 424-6794
Phone(715) 424-6793
Fax(715) 424-6794
Sole ProprietorYes
Enumeration DateMay 13, 2026
NPPES CertifiedMay 13, 2026
✔ NPI 1669300125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License✔ Licensed in WI · 258475-30
611 TWO MILE AVE, Wisconsin Rapids, WI 54494
Open in Google Maps ↗

Secondary Practice Locations 6

Location 1221 8th St NWisconsin Rapids, WI 54494-4488 · Phone (715) 424-6772 · Fax (715) 424-6773
Location 2471 Grove AveWisconsin Rapids, WI 54494-6279 · Phone (715) 424-6769 ext. 2108 · Fax (715) 424-6770
Location 3501 17th St SWisconsin Rapids, WI 54494-5106 · Phone (715) 424-6779 · Fax (715) 424-6780
Location 42911 Washington StWisconsin Rapids, WI 54494-1602 · Phone (715) 424-6788 · Fax (715) 424-6789
Location 56950 Knowledge AveRudolph, WI 54475-9729 · Phone (715) 424-6784 · Fax (715) 424-6785
Location 6241 17th Ave SWisconsin Rapids, WI 54495-2408 · Phone (715) 424-6777 · Fax (715) 424-6778

Other Providers at the Same Location NPPES 2

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

MARISSA GRUBBA
Speech-Language Pathologist
611 TWO MILE AVE
WISCONSIN RAPIDS, WI 54494
Wood County (715) 424-6793
MORGAN GRAF OTD
Occupational Therapist
611 TWO MILE AVE
WISCONSIN RAPIDS, WI 54494
Wood County (715) 424-6793

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 Amanda Bullock's NPI number?

The NPI number for Amanda Bullock is 1669300125. It was assigned to this individual provider in the NPPES registry on May 13, 2026.

Where is Amanda Bullock located?

Amanda Bullock practices at 611 Two Mile Ave, Wisconsin Rapids, WI 54494. The listed phone number is (715) 424-6793.

What is Amanda Bullock's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in School, with taxonomy code 163WS0200X.

When was this NPI record last updated?

The NPPES record for Amanda Bullock was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.