KELLY MULLINS (NPI# 1700230471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700230471 |
| Entity Type | Individual |
| Full Name | KELLY MULLINS |
| Credential | FNP |
| Practice Address |
3327 Rosecrans St San Diego CA 92110-4223 |
| Mailing Address |
3784 Louisiana St San Diego CA 92104-3313 |
| Practice Telephone | 6196341639 |
| Mailing Telephone | 6196341639 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95003407 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053968131 | Kelly Mullins | Speech-Language Pathologist | 5000 Thayer Dr, Killeen, TX 76549-6711 | 2019-08-22 |
| 1629423033 | Kelly Mullins | Speech-Language Pathologist | 824 Mcalpine St, Suite 5, Avoca, PA 18641-1104 | 2016-05-04 |
| 1083092100 | Kelly Lynn Mullins | Nurse Practitioner | 13609 California St, Omaha, NE 68154-5260 | 2015-05-08 |
| 1598152795 | Kelly Mullins | Counselor | 1509 Emerald Pkwy, College Station, TX 77845-5501 | 2015-04-25 |
| Street Address |
3327 ROSECRANS ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-4223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164608675 | Laura Anne Horton | Nurse Practitioner | 3327 Rosecrans St, San Diego, CA 92110-4223 | 2008-01-15 |
| 1720685795 | Andrea Bell | Nurse Practitioner | 3327 Rosecrans St, San Diego, CA 92110-4223 | 2020-10-02 |
| 1760021026 | Amanda Katherine Alvarez | Nurse Practitioner | 3327 Rosecrans St, San Diego, CA 92110-4223 | 2020-01-03 |
| 1316471006 | Jack Vi Lam | Pharmacist | 3327 Rosecrans St, San Diego, CA 92110-4223 | 2017-04-19 |
| 1942656152 | Anna-joy Lingwood | Nurse Practitioner | 3327 Rosecrans St, San Diego, CA 92110-4223 | 2016-05-05 |
| 1215309455 | Kristi Manley | Pharmacist | 3327 Rosecrans St, San Diego, CA 92110-4223 | 2015-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203097 | Rebecca Dolores Garcia | Nurse Practitioner | 2440 Curlew St, San Diego, CA 92101-1327 | 2020-10-20 |
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1083226245 | Allison Floyd | Nurse Practitioner | 3652 Texas St, San Diego, CA 92104-4044 | 2020-08-19 |
| 1386255248 | Helen Hyeyoung Hong | Nurse Practitioner | 5140 Caminito Exquisito, San Diego, CA 92130-2852 | 2020-08-13 |
| 1134747595 | Dawn Elyse Rose | Nurse Practitioner | 8260 Mira Mesa Blvd Ste A, San Diego, CA 92126-2662 | 2020-07-10 |
| 1982232591 | John Meier | Nurse Practitioner | 3745 Riviera Dr Apt 10, San Diego, CA 92109-6661 | 2020-03-30 |
| 1013543008 | Alex Choi Mara | Nurse Practitioner | 5248 Zephyr Ln Unit 24, San Diego, CA 92120-2749 | 2020-03-21 |
| 1669005021 | Katlyn Ann Hartman | Nurse Practitioner | 1951 4th Ave, San Diego, CA 92101-2374 | 2020-02-13 |
| 1245876101 | Katherine Baber | Nurse Practitioner | 3671 Fifth Ave, San Diego, CA 92103-4218 | 2019-11-25 |
| 1922644095 | Taiko Harris | Nurse Practitioner | 13592 Bolero Way, San Diego, CA 92130-7006 | 2019-11-22 |
| Find all providers in SAN DIEGO | ||||
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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.