Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keinisha Bullard, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1649578451

Keinisha Bullard, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Tyler, Texas. Qualified in 2010, 16 years ago. Practices with University of Texas Southwestern Medical Center at Dallas, a 3,149-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
16
Licensed in
LA
In the registry since
2011
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

800 E Dawson St
Tyler, TX 75701-2036
Phone: (903) 531-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN108766 (LA)

Record details

NPI number1649578451
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 2, 2011
Last updated in NPPESOctober 14, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice University Of Texas Southwestern Medical Center At Dallas — 3149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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