NPI age
15 years
Enumerated 2011-03-02
● Active
Type 1 · Individual
Keinisha Bullard, CRNA
Bullard is 1 of 110 nurse anesthetist, certified registered providers in Tyler and 1 of 6676 in Texas.
Primary specialty
Nurse Anesthetist, Certified Registered
Licensed in
LA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-10-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 6676 active nurse anesthetist, certified registered providers in Texas.
NPI age
15 years
↑ 2 yr above median (13 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2011 → 2026
2011-03Enumerated in NPPES
2011
2026
Where they practice
Practice location
800 E Dawson St
Tyler, TX 757012036
Mailing address
Po Box 841656
Dallas, TX 752841656
Specialties
-
Nurse Anesthetist, Certified Registered Primary(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 280340501 | |
| 05 (TX) | 280340502 | |
| 01 (TX) | 8283UB | BCBS |
| 01 (TX) | 750818167015 | TRICARE |
Practice context
Part of a multi-provider practice. 321 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.