JENNY MULLIS (NPI# 1952897118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952897118 |
| Entity Type | Individual |
| Full Name | JENNY MULLIS |
| Credential | NP |
| Practice Address |
253 Sagamore Pkwy W West Lafayette IN 47906 |
| Mailing Address |
Po Box 5545 Lafayette IN 47903-5545 |
| Practice Telephone | 7654488000 |
| Mailing Telephone | 7654488000 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 28133979A | IN | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | PENDING | 05 | |
| IN | ANTHEM PROVIDER NUMBER | PENDING | 01 |
| Street Address |
253 SAGAMORE PKWY W |
| City | WEST LAFAYETTE |
| State | IN |
| Zip Code | 47906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316934102 | Lori E Pekarek | Emergency Medicine | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2005-10-05 |
| 1457826661 | Meghan L Lovellette | Nurse Practitioner | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2018-10-04 |
| 1154803716 | Kasey Williams | Nurse Practitioner | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2018-08-30 |
| 1114421161 | Stacey Mels | Registered Nurse | 253 Sagamore Pkwy W, West Lafayette, IN 47906 | 2018-03-22 |
| 1649705138 | Megan Ishikawa | Family Medicine | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2017-04-22 |
| 1750822367 | Katie D Aldridge | Registered Nurse | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2017-03-15 |
| 1639619091 | Michelle Yakimicki | Registered Nurse | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2017-03-06 |
| 1912449273 | Scott F Wood | Nurse Practitioner | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2016-11-17 |
| 1912360348 | Scott E. Wilkins | Family Medicine | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2016-04-02 |
| 1164884110 | Priscilla A Hetrick | Nurse Practitioner | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2016-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457990848 | Wickshire West Lafayette Opco LLC | Assisted Living Facility | 3575 Senior Place, West Lafayette, IN 47906 | 2020-01-02 |
| 1992290530 | Cameron Eldred | Specialist/Technologist | 3367 Edison Dr, West Lafayette, IN 47906 | 2018-06-26 |
| 1720593403 | Devin Kay Hall | Specialist/Technologist | 900 John R. Wooden Drive, West Lafayette, IN 47906 | 2017-12-04 |
| 1609398270 | Christian Floirendo | Specialist/Technologist | 2225 Willowbrook Dr, #207, West Lafayette, IN 47906 | 2017-07-14 |
| 1699176800 | Leslie Michell Pell | Registered Nurse | 1873 Kingeider Drive, West Lafayette, IN 47906 | 2014-09-07 |
| 1881007581 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 2636 Us52 Sagamore Pkwy, West Lafayette, IN 47906 | 2014-06-10 |
| 1588089536 | Sarah Pierce | Pharmacist | 2636 Us 52, West Lafayette, IN 47906 | 2014-02-27 |
| 1811228240 | Angelica D. Kokkalis | Acupuncturist | 124 Westwood Dr., W. Lafayette, IN 47906 | 2010-01-25 |
| 1255529335 | Greater Lafayette Health Services | Clinic/Center | 3482 Mcclure Ave, West Lafayette, IN 47906 | 2007-10-15 |
| 1871784330 | Sally A Timmons LLC | Social Worker | 120 Sagamore Parkway West, West Lafayette, IN 47906 | 2007-08-08 |
| Find all providers in zip 47906 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809280 | Patricia Spangler Greim | Registered Nurse | 4917 Leicester Way, West Lafayette, IN 47906-8643 | 2020-10-19 |
| 1558919183 | Elizabeth Wang | Registered Nurse | 132 Andrew Pl Apt 104, West Lafayette, IN 47906-6902 | 2019-08-27 |
| 1669029500 | Christy Rund | Registered Nurse | 2625 E 600 N, West Lafayette, IN 47906-9019 | 2019-08-26 |
| 1497228175 | Laura L Korty | Registered Nurse | 906 Princess Dr, West Lafayette, IN 47906-2040 | 2019-01-06 |
| 1699176800 | Leslie Michell Pell | Registered Nurse | 1873 Kingeider Drive, West Lafayette, IN 47906 | 2014-09-07 |
| 1689200735 | Qinglan Ding | Registered Nurse | 715 Clinic Dr, West Lafayette, IN 47907-2122 | 2020-03-20 |
| 1114421161 | Stacey Mels | Registered Nurse | 253 Sagamore Pkwy W, West Lafayette, IN 47906 | 2018-03-22 |
| 1750822367 | Katie D Aldridge | Registered Nurse | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2017-03-15 |
| 1639619091 | Michelle Yakimicki | Registered Nurse | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2017-03-06 |
| 1972962736 | Tristan Freeman | Registered Nurse | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2016-02-22 |
| Find all providers in WEST LAFAYETTE | ||||
| City | WEST LAFAYETTE |
| Zip Code | 47906 |
Please comment or provide details below to improve the information on JENNY MULLIS.
| 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.