Kelly L Mullins (NPI# 1083092100, PAC ID# 8325349285) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1083092100 |
| PAC ID by PECOS | 8325349285 |
| Professional Enrollment ID | I20151217002268 |
| Full Name | Kelly L Mullins |
| Organization Legal Name | COMMUNITY INTERVENTION ASSOCIATES INC. |
| Address |
1923 N Trekell Rd Suite 101 102 Casa Grande AZ 85122-1706 |
| Phone Number | 5202847782 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4880851971 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030013 | YUMA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1923 N Trekell Rd, Suite 101 102, Casa Grande, AZ 85122-1706 | 5202847782 | COMMUNITY INTERVENTION ASSOCIATES INC. |
| Organization Legal Name | COMMUNITY INTERVENTION ASSOCIATES INC. |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick E Hickey | Nurse Practitioner | Community Intervention Associates Inc. | 1516 S Ocotillo Ave, Parker, AZ 85344-6234 |
| Lisa Ling | Nurse Practitioner | Community Intervention Associates Inc. | 410 S Maiden Ln, Yuma, AZ 85364-2319 |
| Dawn J Domenech | Nurse Practitioner | Community Intervention Associates Inc. | 1773 W Saint Marys Rd, Suite 102, Tucson, AZ 85745-2654 |
| Delores A Walker | Nurse Practitioner | Community Intervention Associates Inc. | 2851 S Ave B, Bldg 4, Yuma, AZ 85364-7726 |
| Angel Marie Rivers | Nurse Practitioner | Community Intervention Associates Inc. | 1773 W Saint Marys Rd, Suite 102, Tucson, AZ 85745-2654 |
| Barbara Ann Rahman | Nurse Practitioner | Community Intervention Associates Inc. | 2851 S Ave B, Bldg 4, Yuma, AZ 85364-7726 |
| Elizabeth A Ruiz | Nurse Practitioner | Community Intervention Associates Inc. | 2851 S Ave B, Bldg 4, Yuma, AZ 85364-7726 |
| Street Address |
1923 N TREKELL RD SUITE 101 102 |
| City | CASA GRANDE |
| State | AZ |
| Zip | 85122-1706 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurie M King | Clinical Social Worker | 550 E Cottonwood Lane B, Casa Grande, AZ 85122 | |
| Paul E Rosete | Psychologist, Clinical | 1298 E Avenida Grande, Casa Grande, AZ 85122-1006 | |
| Brittany Dawn Silverman | Physician Assistant | Az Dermatology LLC | 1821 N Trekell Rd, Suite 2, Casa Grande, AZ 85122-1705 |
| Joyce Kate Forest | Family Medicine | Az Dermatology LLC | 1821 N Trekell Rd, Suite 2, Casa Grande, AZ 85122-1705 |
| Sangita B Patel | Nurse Practitioner | 1901 N Trekell Rd, Casa Grande, AZ 85122-1770 | |
| Sheri Steincamp | Registered Dietitian Or Nutrition Professional | 1895 N Trekell Rd, Suite 3, Casa Grande, AZ 85122-1774 | |
| Sean P Jenkins | Chiropractic | 1891 N Trekell Rd, Suite 2, Casa Grande, AZ 85122-1792 | |
| Khushali D Shah | Optometry | Matthew Littlejohn Od PC | 1968 N Pearl Rd, Suite 12, Casa Grande, AZ 85122-2023 |
| Matthew K Littlejohn | Optometry | Matthew Littlejohn Od PC | 653 E Cottonwood Ln, Casa Grande Vision Center, Casa Grande, AZ 85122-2023 |
| Kelly D Chavez | Physician Assistant | English Dermatology PC | 1729 N Trekell Rd, Suite 124, Casa Grande, AZ 85122-2215 |
| Find all physicians in zip 85122 | |||
| City | CASA GRANDE |
| Zip Code | 85122 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CASA GRANDE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelly L Mullins.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.