SHANNON MULLEN (NPI# 1992173017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992173017 |
| Entity Type | Individual |
| Full Name | SHANNON MULLEN |
| Credential | PA |
| Practice Address |
1690 Barton Rd Redlands CA 92373-4229 |
| Mailing Address |
Po Box 10069 San Bernardino CA 92423-0069 |
| Practice Telephone | 9097933311 |
| Mailing Telephone | 9093354188 |
| Enumeration Date | 2015-09-05 |
| Last Update Date | 2018-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891171021 | Shannon K Mullen | Registered Nurse | 20 Thelma Rd, Dorchester, MA 02122 | 2015-08-11 |
| 1063781789 | Shannon Mullen | Occupational Therapist | 750 E Adams St, Syracuse, NY 13210-2342 | 2011-12-27 |
| Street Address |
1690 BARTON RD |
| City | REDLANDS |
| State | CA |
| Zip Code | 92373-4229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306892906 | Gilbert J Putnoky | Internal Medicine | 1690 Barton Rd, Second Floor, Redlands, CA 92373-4229 | 2006-05-25 |
| 1992219133 | Matthew Moraton | Optometrist | 1690 Barton Rd, Redlands, CA 92373-4229 | 2017-11-27 |
| 1568999746 | Mei Lu Dds Inc | Dentist | 1690 Barton Rd, Ste 100, Redlands, CA 92373-4229 | 2017-05-18 |
| 1588060859 | Sleepmed of California, Inc | Clinic/Center | 1690 Barton Rd, Ste 107, Redlands, CA 92373-4230 | 2014-11-13 |
| 1386938124 | Rishi Doshi | Ophthalmology | 1690 Barton Rd, Redlands, CA 92373-4229 | 2011-06-08 |
| 1144477910 | Mei Lu | Dentist | 1690 Barton Rd, Suite 100, Redlands, CA 92373-4229 | 2008-08-25 |
| 1336327683 | Nguyen Khoi Ha | Ophthalmology | 1690 Barton Rd, 2nd Floor, Redlands, CA 92373-4229 | 2008-02-07 |
| 1881815728 | Fardad Borhani Dmd Inc | Dentist | 1690 Barton Rd, Suite 100, Redlands, CA 92373-7761 | 2007-05-01 |
| 1942242912 | Lewis E. Kemmerer | Optometrist | 1690 Barton Rd, Second Floor, Redlands, CA 92373-4229 | 2006-06-12 |
| 1659310100 | Steven O Rimmer | Ophthalmology | 1690 Barton Rd, Ste. 200, Redlands, CA 92373-4229 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473422 | Mindfulness Counseling Services | Marriage & Family Therapist | 101 E. Redlands, Suite 170a, Redlands, CA 92373 | 2020-09-24 |
| 1710596721 | Vandna Mittal | Counselor | 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 | 2020-07-26 |
| 1164062345 | Sara Bencoe | Nurse Practitioner | 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 | 2020-01-15 |
| 1033604103 | John Duane Wuchenich | Anesthesiology | 451 Summit Avenue, Redlands, CA 92373 | 2018-06-29 |
| 1013401074 | Adept Hospice Care | Hospice Care, Community Based | 515 New Jersey St., Suite G, Redlands, CA 92373 | 2018-06-21 |
| 1134616121 | Rodrigo Robles | Student in an Organized Health Care Education/Training Program | 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 | 2018-04-16 |
| 1760987614 | Redlands Endodontics | Dentist | 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 | 2018-03-23 |
| 1487164166 | Tyler Stafford | Behavioral Analyst | 1467 Ford St. Suite 104, Redlands, CA 92373 | 2017-10-06 |
| 1083131486 | Shannon Palmowski | Behavioral Analyst | Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 | 2017-08-25 |
| 1275062622 | Erim Sarbuland | Marriage & Family Therapist | 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 | 2017-06-08 |
| Find all providers in zip 92373 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710412499 | Hala Marie Azmi | Physician Assistant | 301 W Redlands Blvd, Redlands, CA 92373-4633 | 2017-05-01 |
| 1174900989 | Melissa Ann Teoli | Physician Assistant | 255 Terraciha Blvd Suite 101a, Redlands, CA 92373 | 2015-04-30 |
| 1194789750 | Robert R Fajardo | Physician Assistant | 2 W. Fern Ave., Redlands, CA 92373-5916 | 2006-04-12 |
| 1083108310 | Tony Wai Tiu | Physician Assistant | 245 Terracina Blvd Ste 202, Redlands, CA 92373-4867 | 2018-06-20 |
| 1013426154 | Madison Tucker Zagurski | Physician Assistant | 2 W Fern Ave, Redlands, CA 92373-5916 | 2017-09-20 |
| 1023487006 | Andrew Vincent Rives | Physician Assistant | 1901 W Lugonia Ave Ste 120, Redlands, CA 92374-9704 | 2015-09-18 |
| 1366811622 | Erin Abston | Physician Assistant | 25828 Redlands Blvd Ste 103, Redlands, CA 92373-8451 | 2015-09-17 |
| 1942582739 | Ashley Stemley | Physician Assistant | 350 Terracina Blvd, Redlands, CA 92373-4850 | 2011-09-16 |
| 1710280383 | Christen Lee | Physician Assistant | 255 Terracina Blvd Ste 205c, Redlands, CA 92373-4870 | 2010-12-21 |
| 1154621985 | Robert James Karras | Physician Assistant | 255 Terracina Blvd, Suite 101a, Redlands, CA 92373-4870 | 2010-10-26 |
| Find all providers in REDLANDS | ||||
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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.