CELESTE MULLINS (NPI# 1922437011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922437011 |
| Entity Type | Individual |
| Full Name | CELESTE MULLINS |
| Credential | N.P. |
| Practice Address |
43 Champions Ave Big Stone Gap VA 24219-1105 |
| Mailing Address |
1167 Spratlin Park Dr Gray TN 37615-6205 |
| Practice Telephone | 2765238300 |
| Practice Fax Number | 4234673644 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673644 |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2016-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0017141375 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
43 CHAMPIONS AVE |
| City | BIG STONE GAP |
| State | VA |
| Zip Code | 24219-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750392965 | Rebecca J Mullins | Nurse Practitioner | 43 Champions Ave, Big Stone Gap, VA 24219-1105 | 2006-08-11 |
| 1730642331 | Michael S Lilly | Counselor | 43 Champions Ave, Big Stone Gap, VA 24219-1105 | 2019-04-10 |
| 1225512106 | Mary Chrystal Diets | Case Manager/Care Coordinator | 43 Champions Ave, Big Stone Gap, VA 24219-1105 | 2018-09-18 |
| 1174982193 | Wise County Integrated Care | Clinic/Center | 43 Champions Ave, Suite 1, Big Stone Gap, VA 24219-1105 | 2016-02-18 |
| 1316306491 | Teresa Beverly | Licensed Practical Nurse | 43 Champions Ave, Big Stone Gap, VA 24219-1105 | 2016-02-17 |
| 1427417609 | Jennifer Mae Cox | Licensed Practical Nurse | 43 Champions Ave, Big Stone Gap, VA 24219-1105 | 2016-02-17 |
| 1881981355 | Susan Kay Bolling | Counselor | 43 Champions Ave, Big Stone Gap, VA 24219-1105 | 2011-07-06 |
| 1699867606 | William Joseph Phillips | Counselor | 43 Champions Ave, Big Stone Gap, VA 24219 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408962 | Dillon Wayne Roberts | Private Vehicle | 2101 Seterra St, Big Stone Gap, VA 24219 | 2020-02-05 |
| 1609427525 | Joan M Daniel | Technician | 800 Buffalo Ridge Road, Big Stone Gap, VA 24219 | 2019-09-23 |
| 1932634953 | Big Stone Economy Drug Inc | Pharmacy | 205 East 5th Street North, Big Stone Gap, VA 24219 | 2017-04-27 |
| 1639519655 | Family Preservation Services, Inc. | Community/Behavioral Health | Two Champions Avenue, Big Stone Gap, VA 24219 | 2013-07-05 |
| 1134464456 | Family Preservation Services, Inc | Community/Behavioral Health | 212 Monta Vista Lane, Big Stone Gap, VA 24219 | 2012-11-28 |
| 1902158892 | Tommie Jo Harding | Registered Nurse | 1508 Third Ave East, Big Stone Gap, VA 24219 | 2012-10-03 |
| 1366793002 | Rebecca Ely Johnson | Registered Nurse | 1508 3rd Ave. East, Big Stone Gap, VA 24219 | 2012-09-20 |
| 1770833238 | Melinda Dawn Hamm | Licensed Practical Nurse | 1508 3rd Ave East, Big Stone Gap, VA 24219 | 2012-09-12 |
| 1801197470 | Family Preservation Services, Inc. | Community/Behavioral Health | 170 Mountain View Circle, Big Stone Gap, VA 24219 | 2010-11-12 |
| 1245498062 | Joshua Heath Dalton | Neuromusculoskeletal Medicine & OMM | 14 East 27st N, Ste 2, Big Stone Gap, VA 24219 | 2008-05-29 |
| Find all providers in zip 24219 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160875 | Tricia Daigle Northington | Nurse Practitioner | 20213 Eagle Cove Ct, South Chesterfield, VA 23803-1097 | 2020-10-08 |
| 1114524543 | Alliance Mental Health LLC | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb#2867, Suite 300, Richmond, VA 23225 | 2020-10-08 |
| 1699372060 | Shari Chism Medley | Nurse Practitioner | 1088 Bagwell Dr, Scottsburg, VA 24589-2709 | 2020-10-07 |
| 1225635683 | Kevina Boone | Nurse Practitioner | 5360 Discovery Park Blvd Ste 201, Williamsburg, VA 23188-2860 | 2020-10-07 |
| 1548876618 | Jamie Kim | Nurse Practitioner | 3554 Chain Bridge Rd Ste 200, Fairfax, VA 22030-2709 | 2020-09-23 |
| 1134734957 | Ai H Garner | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb# 2867, Suite 300, Richmond, VA 23225 | 2020-09-09 |
| 1679185573 | Shaping Your Future Psychiatry | Nurse Practitioner | 1534 Bateau Lndg, Chesapeake, VA 23321-6603 | 2020-08-20 |
| 1235749714 | Germaine Kelley-pope | Nurse Practitioner | 622 Westover Hills Blvd, Richmond, VA 23225-4521 | 2020-08-09 |
| 1164031779 | Georgina Rose Chidaushe | Nurse Practitioner | 46760 Vermont Maple Ter, Sterling, VA 20164-2234 | 2020-07-29 |
| 1689292575 | Harpreet Kang | Nurse Practitioner | 2925 Calcutt Dr, Midlothian, VA 23113-2682 | 2020-07-08 |
| Find all providers with the same taxonomy | ||||
| City | BIG STONE GAP |
| Zip Code | 24219 |
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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.