STEPHANIE M MULLINS (NPI# 1740260835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740260835 |
| Entity Type | Individual |
| Full Name | STEPHANIE M MULLINS |
| Credential | RN |
| Practice Address |
119 Boone Ridge Dr Suite 201 Johnson City TN 37615-4998 |
| Mailing Address |
Po Box 2503 Johnson City TN 37605-2503 |
| Practice Telephone | 4239281145 |
| Practice Fax Number | 4239281353 |
| Mailing Telephone | 4239281145 |
| Mailing Fax Number | 4239281353 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
121585 | TN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750995783 | Stephanie N Mullins | Technician | 217 Luray St, Macarthur, WV 25873 | 2020-09-08 |
| 1497043863 | Stephanie Lauren Mullins | Dentist | 3470 Ne Ralph Powell Rd Ste C, Lees Summit, MO 64064-2336 | 2011-07-19 |
| 1205444759 | Stephanie Nicole Mullins | Technician | 725 Stewart St, Welch, WV 24801-2125 | 2020-07-21 |
| 1083253348 | Stephanie Mullins | Behavior Technician | 3216 Ballard Ln, New Albany, IN 47150-7200 | 2020-01-03 |
| 1215467964 | Stephanie Mullins | Social Worker | 7321 Balmer St Bldg 570, Hill Afb, UT 84056-5012 | 2017-06-15 |
| 1609036698 | Stephanie G Mullins | Nurse Practitioner | 551 Azalea Dr, Oxford, MS 38655-7900 | 2008-06-12 |
| 1720104003 | Stephanie Mullins | Social Worker | 466 County St, New Bedford, MA 02740-5107 | 2007-03-21 |
| Street Address |
119 BOONE RIDGE DR SUITE 201 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37615-4998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639161722 | Melissa Dawn Venoy | Nurse Practitioner | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2005-08-16 |
| 1083157788 | Amy Hamilton | Nurse Practitioner | 119 Boone Ridge Dr, Ste 201, Johnson City, TN 37615-8000 | 2016-11-29 |
| 1366992851 | Nikki Daniell Vaughn | Registered Nurse | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2016-10-07 |
| 1790230183 | Laura Casey | Registered Nurse | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2016-08-16 |
| 1104277656 | Ipc Pac Healthcare Services of Tennessee PC | Psychologist | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2016-06-27 |
| 1487008835 | Amanda Milan Smith | Nurse Practitioner | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2016-04-21 |
| 1083084560 | Hannah Audia | Nurse Practitioner | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2015-09-28 |
| 1033593223 | Carleen Marie Ogle | Nurse Practitioner | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2015-07-17 |
| 1104209675 | Lindsey Townsend Elswick | Nurse Practitioner | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2015-07-02 |
| 1811379639 | Stacey Hubbard | Nurse Practitioner | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2015-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568962983 | Clayton Kilgore | Pharmacist | 208 Suncrest St Unit 1, Gray, TN 37615 | 2018-02-13 |
| 1346648268 | Jesse Mullins | Pharmacist | 121 Boone Ridge Dr, Suite 1006, Johnson City, TN 37615 | 2014-12-09 |
| 1750650875 | Medical Education Assistance Corporation | Pediatrics | 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615 | 2011-12-19 |
| 1700018603 | Anna Lynne Deal | Nurse Practitioner | 119 Boone Ridge Dr., Ste. 201, Johnson City, TN 37615 | 2009-08-11 |
| 1285876631 | Leigh A Furman | Occupational Therapist | 253 Wiltshire Dr., Gray, TN 37615 | 2009-04-01 |
| 1811098908 | Fay Lynn Bembry | Nurse Practitioner | 119 Boone Ridge Drive Ste. 201, Johnson City, TN 37615 | 2006-09-25 |
| 1871528976 | Boones Creek Medical Pllc | Family Medicine | 2685 Boones Creek Road, Suite 104, Johnson City, TN 37615 | 2006-07-11 |
| 1568402048 | Joseph Vincent Pinyard Jr. | Family Medicine | 880 Boones Station Rd, Johnson City, TN 37615 | 2006-06-07 |
| 1548223084 | Pitchar Theerathorn | Internal Medicine | 119 Boone Ridge Drive, Suite 201, Johnson City, TN 37615 | 2006-04-07 |
| 1194717157 | Susan Kay Pennypacker | Nurse Practitioner | 140 Old Gray Station Rd, Suite 200, Gray, TN 37615 | 2005-08-16 |
| Find all providers in zip 37615 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942280474 | Angie Johnson | Registered Nurse | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2006-01-19 |
| 1922083732 | Tammy Edwards | Registered Nurse | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285553 | Kristie Lynn Sims-straut | Registered Nurse | 378 Old Brimstone Rd, Helenwood, TN 37755-5432 | 2018-11-27 |
| 1437532983 | Shalonda Nance | Registered Nurse | 3240 Sutherland Ave, Knoxville, TN 37919-4576 | 2015-07-01 |
| 1952710857 | Denise Woody | Registered Nurse | 1206 Pointe Center Dr Ste 110, Chattanooga, TN 37421-4143 | 2014-08-05 |
| 1649406158 | Annette Hope Deal | Registered Nurse | 1404 Hillmont Dr, Kingsport, TN 37660-1324 | 2009-06-10 |
| 1225278948 | Bernadine T Stone | Registered Nurse | 4405 Summertime Dr, Nashville, TN 37207-1061 | 2009-02-21 |
| 1396996047 | Carol Lynn Harriss | Registered Nurse | 2620thousand Oaks Blvd, Suite 2400, Memphis, TN 38118 | 2008-09-30 |
| 1902084627 | Tonia Denise King | Registered Nurse | 4088 Pineorchard Pl, Antioch, TN 37013-1454 | 2008-02-05 |
| 1023204138 | Sharon Bonita Merryman | Registered Nurse | 609 Regency Ln, Elizabethton, TN 37643-3062 | 2007-09-21 |
| 1093847212 | Gayle Lee Canfield | Registered Nurse | 425 5th Ave North 1st Fl Cordell, State of Tn, Tb Elimination Program, Nashville, TN 37243-0001 | 2007-03-12 |
| 1710027685 | Peggy Eskew Allen | Registered Nurse | 114 3rd Ave, Huntingdon, TN 38344-3911 | 2007-02-08 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37615 |
Please comment or provide details below to improve the information on STEPHANIE M MULLINS.
| 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.