MICHELLE MULLIN (NPI# 1144674441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144674441 |
| Entity Type | Individual |
| Full Name | MICHELLE MULLIN |
| Credential | FNP |
| Practice Address |
2220 Lemp Ave Saint Louis MO 63104-2700 |
| Mailing Address |
Po Box 551 Saint Louis MO 63188-0551 |
| Practice Telephone | 3148981700 |
| Practice Fax Number | 3148148542 |
| Mailing Telephone | 3148981700 |
| Mailing Fax Number | 3148148542 |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2018-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2016010736 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | LICENSE | 2016010736 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497231039 | Michelle Ann Mullin | Counselor | 7911 Broadway St, San Antonio, TX 78209-2601 | 2018-07-17 |
| Street Address |
2220 LEMP AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63104-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418382 | Vani Pachalla | Family Medicine | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2005-06-22 |
| 1235794793 | Julia Tuberty Kiehl | Social Worker | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2019-05-09 |
| 1174024350 | Latania Hudson | Registered Nurse | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2018-02-23 |
| 1114466240 | Alexis Howell | Pharmacist | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2017-02-22 |
| 1427407972 | Kimberly Ann Henry | Nurse Practitioner | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2016-06-06 |
| 1639595069 | Stephanie Miller | Nurse Practitioner | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2014-03-10 |
| 1629411814 | Kristy Sheree Moore | Dental Hygienist | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2013-04-08 |
| 1669710091 | Bindu Wagle | Pediatrics | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2013-01-18 |
| 1245582667 | Patricia W Gregg | Dental Hygienist | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2012-10-09 |
| 1295068757 | Grace Hill Neighborhood Health Ctr | Local Education Agency (LEA) | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2009-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1174187264 | Ahsan Ali | Student in an Organized Health Care Education/Training Program | 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 | 2019-04-24 |
| 1205359916 | Brenda Eve Ladin | Behavior Technician | 1221 Allen Market Lane Rear, St. Louis, MO 63104 | 2017-07-25 |
| 1841722063 | Gustavo G Mendez | Student in an Organized Health Care Education/Training Program | 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 | 2017-03-28 |
| 1053776716 | Carmella Harper | Respiratory Therapist, Certified | 2678 Park Ave, St Louis, MO 63104 | 2015-12-23 |
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1306233341 | Healthcare R Us | Home Health | 2859 Sidney St, St Louis, MO 63104 | 2015-04-16 |
| 1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
| 1992117881 | Kelly Denise Durbin | Social Worker | 1920 S 7th St, Saint Louis, MO 63104 | 2014-05-27 |
| Find all providers in zip 63104 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
| 1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
| 1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
| 1467059972 | Anissa Rasul | Nurse Practitioner | 10631 Thayer Dr, Saint Louis, MO 63123-6018 | 2020-10-07 |
| 1124635388 | Brittney Sherrell Burks | Nurse Practitioner | 10314 Briar Hollow Dr Apt 7, Saint Louis, MO 63146-5777 | 2020-09-30 |
| 1629684865 | Nicole Burdge | Nurse Practitioner | 9230 Laurel Hill Dr, Saint Louis, MO 63126-2820 | 2020-09-22 |
| 1932724614 | Oluwatoyin Olufunke Adegboyega | Nurse Practitioner | 3318 Saint Vincent Ave, Saint Louis, MO 63104-1338 | 2020-06-09 |
| 1497376487 | Jessica A Spring | Nurse Practitioner | 6023 Lansdowne Ave, Saint Louis, MO 63109-2243 | 2020-04-30 |
| 1932728466 | Lucy Wachuka Kamau | Nurse Practitioner | 4412 Clarence Ave, Saint Louis, MO 63115-3108 | 2020-04-14 |
| 1275169567 | Lindsay Jones | Nurse Practitioner | 1115 Olivette Executive Pkwy Ste 100, Saint Louis, MO 63132-3265 | 2020-03-18 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63104 |
Please comment or provide details below to improve the information on MICHELLE MULLIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.