SAMANTHA MCMULLEN (NPI# 1780136929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780136929 |
Entity Type | Individual |
Full Name | SAMANTHA MCMULLEN |
Credential | HIS |
Practice Address |
1585 Randolph Ave Saint Paul MN 55105 |
Mailing Address |
8800 Se Sunnyside Rd Ste 300n Clackamas OR 97015-5703 |
Practice Telephone | 6513937999 |
Practice Fax Number | 6513937999 |
Mailing Telephone | 6123511529 |
Mailing Fax Number | 9522853980 |
Enumeration Date | 2016-11-03 |
Last Update Date | 2018-05-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 237600000X | Audiologist-Hearing Aid Fitter | 2803 | MN | Speech, Language and Hearing Service Providers |
Y | 237700000X | Hearing Instrument Specialist | 2803 | MN | Speech, Language and Hearing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003219197 | Samantha Jane Mcmullen | Marriage & Family Therapist | 4025 W 226th St, Torrance, CA 90505-2340 | 2014-10-02 |
1619390291 | Samantha Chez Babcock Mcmullen | Counselor | 560 Cohasset Rd Ste 180, Chico, CA 95926-2460 | 2014-02-02 |
Street Address |
1585 RANDOLPH AVE |
City | SAINT PAUL |
State | MN |
Zip Code | 55105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689689903 | Walgreen Co | Pharmacy | 1585 Randolph Ave, Saint Paul, MN 55105-2149 | 2006-07-29 |
1962002998 | Wangchen Taythi | Pharmacist | 1585 Randolph Ave, Saint Paul, MN 55105-2149 | 2020-10-28 |
1629681473 | Tenzin Singey | Pharmacist | 1585 Randolph Ave, Saint Paul, MN 55105-2149 | 2020-08-30 |
1548828262 | Ashley Victoria Roberts | Hearing Instrument Specialist | 1585 Randolph Ave, Saint Paul, MN 55105-2149 | 2019-05-29 |
1306313861 | Kevin Richards | Hearing Instrument Specialist | 1585 Randolph Ave, Saint Paul, MN 55105-2149 | 2018-11-01 |
1295237345 | Northland Hearing Centers, Inc | Hearing Instrument Specialist | 1585 Randolph Ave, Saint Paul, MN 55105-2149 | 2018-03-05 |
1225539299 | Erica Laforte | Pharmacist | 1585 Randolph Ave, Saint Paul, MN 55105-2149 | 2018-02-26 |
1568810760 | Kenneth Ouren | Pharmacist | 1585 Randolph Ave, Saint Paul, MN 55105-2149 | 2016-05-27 |
1679973168 | Adam Miller | Pharmacist | 1585 Randolph Ave, Saint Paul, MN 55105-2149 | 2014-09-03 |
1295167500 | Heather Joy Wingen | Pharmacist | 1585 Randolph Ave, Saint Paul, MN 55105-2149 | 2013-08-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437704020 | Grand Avenue Smiles | Dentist | 1845 Grand Avenue, St. Paul, MN 55105 | 2019-08-09 |
1205304839 | Michelle Marie Loken Price | Acupuncturist | 877 Lincoln Ave, Saint Paul, MN 55105 | 2018-11-13 |
1326566936 | Becky Lynn Lawyer | Counselor | 1704 Palace Ave, St Paul, MN 55105 | 2017-09-04 |
1679020226 | Internal Revolution Counseling and Consulting, L.L.C. | Psychologist | 1123 Grand Avenue, Suite 201, Saint Paul, MN 55105 | 2016-09-01 |
1487059689 | Jennifer Mason | Lactation Consultant, Non-RN | 1382 Summit Ave, Saint Paul, MN 55105 | 2014-10-30 |
1679818850 | Marc Lane Wolfson | Registered Nurse | 1148 Grand Avenue, St. Paul, MN 55105 | 2012-11-29 |
1457602781 | Charting Your Success | Social Worker | 2050 St Clair Avenue, Suite 1e, St Paul, MN 55105 | 2012-09-26 |
1871867549 | Stacia Hanson Ma Lp LLC | Psychologist | 889 Grand Avenue, Suite 203, St Paul, MN 55105 | 2012-02-28 |
1265718142 | Caitlin Marie Young | Midwife | 968 Grand Ave., St. Paul, MN 55105 | 2011-10-24 |
1659512622 | Wellness Cooperative LLC | Chiropractor | 976 Grand Ave., St. Paul, MN 55105 | 2009-03-20 |
Find all providers in zip 55105 |
Taxonomy Code | 237700000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Hearing Instrument Specialist |
Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164791158 | Matt Brakefeild | Hearing Instrument Specialist | 625 Snelling Ave S, Ste. 100, Saint Paul, MN 55116-1529 | 2011-12-20 |
1417166117 | Paul Tuveson | Hearing Instrument Specialist | 393 Dunlap St N Ste 600, Saint Paul, MN 55104-4206 | 2007-05-21 |
1326690587 | Alexandra Grace Clark | Hearing Instrument Specialist | 393 Dunlap St N Ste 115, Saint Paul, MN 55104-4203 | 2019-07-09 |
1548828262 | Ashley Victoria Roberts | Hearing Instrument Specialist | 1585 Randolph Ave, Saint Paul, MN 55105-2149 | 2019-05-29 |
1306313861 | Kevin Richards | Hearing Instrument Specialist | 1585 Randolph Ave, Saint Paul, MN 55105-2149 | 2018-11-01 |
1295237345 | Northland Hearing Centers, Inc | Hearing Instrument Specialist | 1585 Randolph Ave, Saint Paul, MN 55105-2149 | 2018-03-05 |
1154779031 | Nickolaus Perlt | Hearing Instrument Specialist | 393 Dunlap St N Ste 115, Saint Paul, MN 55104-4203 | 2016-06-01 |
1851577589 | Patricia Ann Kleven | Hearing Instrument Specialist | 393 Dunlap St N Ste 115, Saint Paul, MN 55104-4203 | 2008-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497363121 | Jacqueline Clauson | Hearing Instrument Specialist | 1420 Mendota Rd, Inver Grove Heights, MN 55077-1256 | 2020-07-20 |
1326656059 | Amanda M Olsen | Hearing Instrument Specialist | 2700 39th Ave Ne Ste A119, Minneapolis, MN 55421-4385 | 2020-07-20 |
1588272694 | Emma Lee Kramer | Hearing Instrument Specialist | 161 19th St S Ste 111, Sartell, MN 56377-2555 | 2020-07-15 |
1023639689 | Lauri Partricia Kral | Hearing Instrument Specialist | 22396 Heritage Rd, Sleepy Eye, MN 56085-4390 | 2020-05-05 |
1023639697 | Jonathan Aaron Schemmer | Hearing Instrument Specialist | 230 1st St S Ste 109, Virginia, MN 55792-2670 | 2020-05-05 |
1033746383 | Jennifer Tellefson | Hearing Instrument Specialist | 504 Nw 1st Ave Ste 290, Grand Rapids, MN 55744-2668 | 2020-03-26 |
1770110629 | Madeline Michelle Anderson | Hearing Instrument Specialist | 2901 Lavender Pkwy Ste 130, Faribault, MN 55021-5087 | 2020-03-23 |
1548895345 | Christopher F Dicapo | Hearing Instrument Specialist | 8405 Lobelia Ct, Shakopee, MN 55379-3159 | 2020-03-12 |
1295369270 | Tanya Jean Gottlieb | Hearing Instrument Specialist | 1312 7th St Nw Ste 104, Rochester, MN 55901-3578 | 2020-02-27 |
1528607181 | Jill A Markoe | Hearing Instrument Specialist | 2785 White Bear Ave N Ste 406, Maplewood, MN 55109-1311 | 2019-12-31 |
Find all providers with the same taxonomy |
City | SAINT PAUL |
Zip Code | 55105 |
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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.