IndividualActive
Amanda Bullock, RN
NPI 1669300125 · School Registered Nurse · Wisconsin Rapids, WI
Provider details
- NPI number
- 1669300125
- Entity type
- Individual
- Primary specialty
- School Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 258475-30 (WI)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
7 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
611 Two Mile Ave
Wisconsin Rapids, WI 54494-6560
Phone: (715) 424-6793
Fax: (715) 424-6794
Street-level locationGet directions
Mailing address
611 Two Mile Ave
Wisconsin Rapids, WI 54494-6560
Additional practice locations (6)
- 6950 Knowledge AveRudolph, WI 54475-9729Phone: (715) 424-6784Fax: (715) 424-6785
- 241 17th Ave SWisconsin Rapids, WI 54495-2408Phone: (715) 424-6777Fax: (715) 424-6778
- 221 8th St NWisconsin Rapids, WI 54494-4488Phone: (715) 424-6772Fax: (715) 424-6773
- 471 Grove AveWisconsin Rapids, WI 54494-6279Phone: (715) 424-6769Fax: (715) 424-6770
- 2911 Washington StWisconsin Rapids, WI 54494-1602Phone: (715) 424-6788Fax: (715) 424-6789
- 501 17th St SWisconsin Rapids, WI 54494-5106Phone: (715) 424-6779Fax: (715) 424-6780
Registry dates
- Enumerated
- 2026-05-13
- Last updated
- 2026-05-13
- Certified
- 2026-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.