Individual Healthcare Provider
Amanda Bullock, RN
Provider's NPPES record last updated: May 13, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1669300125
- Primary Specialty
- Registered Nurse — School
- Practice Location
- Wisconsin Rapids, Wisconsin
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 5:05 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Registered Nurse
School
Nursing Service Providers
Definition to come...
Taxonomy code 163WS0200X
Provider-Reported License Information
- Registered Nurse (Wisconsin)
- 258475-30
Practice Locations
Practice Location
611 Two Mile Ave
Wisconsin Rapids, Wisconsin 54494-6560
Phone: (715) 424-6793
Additional Practice Location
221 8th St N
Wisconsin Rapids, Wisconsin 54494-4488
Phone: (715) 424-6772
Fax: (715) 424-6773
Additional Practice Location
471 Grove Ave
Wisconsin Rapids, Wisconsin 54494-6279
Phone: (715) 424-6769
Fax: (715) 424-6770
Additional Practice Location
501 17th St S
Wisconsin Rapids, Wisconsin 54494-5106
Phone: (715) 424-6779
Fax: (715) 424-6780
Additional Practice Location
2911 Washington St
Wisconsin Rapids, Wisconsin 54494-1602
Phone: (715) 424-6788
Fax: (715) 424-6789
Additional Practice Location
6950 Knowledge Ave
Rudolph, Wisconsin 54475-9729
Phone: (715) 424-6784
Fax: (715) 424-6785
Additional Practice Location
241 17th Ave S
Wisconsin Rapids, Wisconsin 54495-2408
Phone: (715) 424-6777
Fax: (715) 424-6778
Record Information
- Enumeration Date
- May 13, 2026
- Provider's NPPES Record Last Updated
- May 13, 2026
- Certification Date
- May 13, 2026
- NPISignal NPPES Dataset
- August 2026
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