MS. JULIE NICOLE MULLIGAN (NPI# 1649533001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649533001 |
| Entity Type | Individual |
| Full Name | MS. JULIE NICOLE MULLIGAN |
| Other Name | MRS. JULIE NICOLE BOUGTAUGH |
| Credential | CAC-ADP |
| Practice Address |
280 Stafford Rd Prince Frederick MD 20678-3582 |
| Mailing Address |
Po Box 980 Prince Frederick MD 20678-0980 |
| Practice Telephone | 4105353079 |
| Practice Fax Number | 4105352220 |
| Mailing Telephone | 4105353079 |
| Mailing Fax Number | 4105352220 |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2016-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | ADT542 | MD | Student, Health Care |
| Street Address |
280 STAFFORD RD |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678-3582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679515910 | Wendy Yowell | Counselor | 280 Stafford Rd, Prince Frederick, MD 20678-3582 | 2006-06-12 |
| 1730713561 | Coralia Cordero | Student in an Organized Health Care Education/Training Program | 280 Stafford Rd, Prince Frederick, MD 20678-3582 | 2020-03-02 |
| 1275059453 | Amy C Sims | Counselor | 280 Stafford Rd, Prince Frederick, MD 20678-3582 | 2017-08-18 |
| 1154797421 | Kathleen Anne Atkisson | Counselor | 280 Stafford Rd, Prince Frederick, MD 20678-3582 | 2015-08-20 |
| 1740656693 | Denise Daye | Counselor | 280 Stafford Rd, Prince Frederick, MD 20678-3582 | 2015-08-14 |
| 1942694278 | Diane Mary Fauver | Counselor | 280 Stafford Rd, Prince Frederick, MD 20678-3582 | 2015-03-25 |
| 1811389711 | Furman Williams | Counselor | 280 Stafford Rd, Prince Frederick, MD 20678-3582 | 2015-03-02 |
| 1760870554 | Terry Lee Nunley | Nurse Practitioner | 280 Stafford Rd, Prince Frederick, MD 20678 | 2014-12-31 |
| 1265674923 | Angela Lynn Gregory | Counselor | 280 Stafford Rd, Prince Frederick, MD 20678-3582 | 2009-03-27 |
| 1003085382 | Patricia Lynn Taylor | Counselor | 280 Stafford Rd, Prince Frederick, MD 20678-3582 | 2008-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| Find all providers in zip 20678 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235749193 | Emily Deyo | Student in an Organized Health Care Education/Training Program | 975 Solomons Island Rd N Ste 119, Prince Frederick, MD 20678-3917 | 2020-08-05 |
| 1730713561 | Coralia Cordero | Student in an Organized Health Care Education/Training Program | 280 Stafford Rd, Prince Frederick, MD 20678-3582 | 2020-03-02 |
| 1659853661 | Jacqueline Lenore Waul | Student in an Organized Health Care Education/Training Program | 975 Solomons Island Rd N, Prince Frederick, MD 20678-3917 | 2018-09-06 |
| 1710469564 | Torrey Rachelle Shipman | Student in an Organized Health Care Education/Training Program | 975 Solomons Island Rd N, Prince Frederick, MD 20678-3917 | 2018-08-29 |
| 1609276740 | Alison Donan | Student in an Organized Health Care Education/Training Program | 85 Hospital Rd, Prince Frederick, MD 20678-4018 | 2014-08-26 |
| 1770843567 | Sara Lynn Carson | Student in an Organized Health Care Education/Training Program | 440 Solomons Island Rd N, Prince Frederick, MD 20678-3909 | 2012-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355879 | Cristina Diana Ghinda | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St Bldg 8, Baltimore, MD 21287-0005 | 2020-10-27 |
| 1427657220 | Jonathan Robert Sligh | Student in an Organized Health Care Education/Training Program | 36 S Aurora St Apt A, Easton, MD 21601-3535 | 2020-10-22 |
| 1629676655 | Sam L Allen | Student in an Organized Health Care Education/Training Program | 705 Colby Ave, Takoma Park, MD 20912-5439 | 2020-10-12 |
| 1851999106 | Thanhthao Hoang Le | Student in an Organized Health Care Education/Training Program | 5023 Adrian St, Rockville, MD 20853-3705 | 2020-10-09 |
| 1003413345 | Nada S Wilson | Student in an Organized Health Care Education/Training Program | Vesta, 9301 Annapolis Rd, Lanham, MD 20706-1001 | 2020-10-08 |
| 1245837558 | Carol Luree Eckerl | Student in an Organized Health Care Education/Training Program | 673 Cedar Dr, Pasadena, MD 21122-4450 | 2020-10-08 |
| 1073120523 | Raymon Darby | Student in an Organized Health Care Education/Training Program | 5407 Macbeth St, Hyattsville, MD 20784-1009 | 2020-09-29 |
| 1508473273 | Nadia Nasir | Student in an Organized Health Care Education/Training Program | 4710 Bethesda Ave Apt 1512, Bethesda, MD 20814-5226 | 2020-09-28 |
| 1790391548 | Emily Kendrick Szachnowicz | Student in an Organized Health Care Education/Training Program | 1100 Paca Dr, Edgewater, MD 21037-4126 | 2020-09-17 |
| 1851906044 | Christela Turner | Student in an Organized Health Care Education/Training Program | 4710 Wilwyn Way, Rockville, MD 20852-2457 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
| City | PRINCE FREDERICK |
| Zip Code | 20678 |
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| 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.