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Traci Renee Pulliam, DNP

Family Nurse Practitioner in South Bend, IN · enumerated 2017.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023533890

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Registry record

Entity type Individual (Type 1)
Name Traci Renee Pulliam
Credential DNP
Sex Female
Practice address 615 N Michigan St Fl 4, South Bend, IN, 46601
Phone (574) 647-6892
Fax (574) 647-6895
Enumeration date Aug 13, 2017
Last updated in NPPES Mar 31, 2021

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 71007505A (IN) Primary
DNP · Doctor of Nursing Practice: A clinical doctorate for advanced practice nurses. About the DNP credential

Other identifiers

Identifier Type State Issuer
300007557 Medicaid IN -
259900012 Other IN MEDICARE PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Traci Pulliam?
Traci Pulliam is registered in NPPES with the primary taxonomy of Family Nurse Practitioner. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-31.