KELLY LYNN MULLINS (NPI# 1083092100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083092100 |
| Entity Type | Individual |
| Full Name | KELLY LYNN MULLINS |
| Credential | FNP |
| Practice Address |
13609 California St Omaha NE 68154-5260 |
| Practice Telephone | 8004565857 |
| Mailing Telephone | 8004565857 |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000019753 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053968131 | Kelly Mullins | Speech-Language Pathologist | 5000 Thayer Dr, Killeen, TX 76549-6711 | 2019-08-22 |
| 1629423033 | Kelly Mullins | Speech-Language Pathologist | 824 Mcalpine St, Suite 5, Avoca, PA 18641-1104 | 2016-05-04 |
| 1700230471 | Kelly Mullins | Nurse Practitioner | 3327 Rosecrans St, San Diego, CA 92110-4223 | 2016-04-19 |
| 1598152795 | Kelly Mullins | Counselor | 1509 Emerald Pkwy, College Station, TX 77845-5501 | 2015-04-25 |
| Street Address |
13609 CALIFORNIA ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68154-5260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255503546 | Gertrude M Maes | Physical Therapist | 13609 California St, Omaha, NE 68154-5260 | 2008-03-27 |
| 1295294577 | Mary Catherine Reagan | Occupational Therapist | 13609 California St, Omaha, NE 68154-5260 | 2019-03-17 |
| 1730644659 | Ashley Nicole Wooldridge | Physical Therapist | 13609 California St, Omaha, NE 68154-5260 | 2019-02-05 |
| 1598245839 | Michelle Kempf | Physical Therapy Assistant | 13609 California St, Omaha, NE 68154-5260 | 2018-08-16 |
| 1083100754 | Aureus Medical Management Services LLC | General Practice | 13609 California St, Omaha, NE 68154-5260 | 2018-07-06 |
| 1235642638 | Marina Soledad Amen - Walker | Occupational Therapy Assistant | 13609 California St, Omaha, NE 68154-5260 | 2017-11-08 |
| 1982137048 | Brittany Beasley | Physical Therapist | 13609 California St, Omaha, NE 68154-5260 | 2017-04-06 |
| 1881126670 | Erica Knizacky | Occupational Therapy Assistant | 13609 California St, Omaha, NE 68154-5260 | 2017-03-30 |
| 1477091569 | Alyssa Eich | Occupational Therapist | 13609 California St, Omaha, NE 68154-5260 | 2017-02-08 |
| 1497291231 | Barbara Fleege | Occupational Therapist | 13609 California St, Suite 200, Omaha, NE 68154-5260 | 2017-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1033622782 | Raquelle G. Rowe | Registered Nurse | 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 | 2017-11-15 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
| 1073917605 | Ann Leever | Pharmacist | 505 N 155th Plaza, Omaha, NE 68154 | 2014-10-10 |
| 1689078222 | Melissa Svec | Emergency Medical Technician, Basic | 1705 N 121st St #203, Omaha, NE 68154 | 2014-10-10 |
| Find all providers in zip 68154 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508465048 | Lisa J Lehr | Nurse Practitioner | 6336 John J Pershing Dr Fl Lozier2, Omaha, NE 68110-1100 | 2020-10-24 |
| 1629683719 | Jessica Leigh Queen | Nurse Practitioner | 6818 N 102nd Avenue Cir, Omaha, NE 68122-3009 | 2020-09-15 |
| 1639780414 | Nicolette R Lovitt | Nurse Practitioner | 14721 Stone Ave, Omaha, NE 68116-4323 | 2020-08-13 |
| 1376153197 | Matilda R Beaudette | Nurse Practitioner | 11108 Hilltop Ave, Omaha, NE 68164-2273 | 2020-08-06 |
| 1720697303 | Acacia Schulte-garcia | Nurse Practitioner | 5630 N 116th Cir, Omaha, NE 68164-1427 | 2020-07-29 |
| 1336775857 | Christina Lee Hoy | Nurse Practitioner | 986805 Nebraska Medical Ctr, Omaha, NE 68198-6805 | 2020-03-16 |
| 1144852666 | Margaret Messersmith | Nurse Practitioner | S 42nd & Emile St, Omaha, NE 68198-0001 | 2020-02-12 |
| 1881237766 | Ashlie Renae Zima | Nurse Practitioner | 16909 Lakeside Hills Ct Ste 208, Omaha, NE 68130-4663 | 2019-10-23 |
| 1659920775 | Simone Yamdaare Redboy | Nurse Practitioner | 11348 Taylor St, Omaha, NE 68164-2341 | 2019-09-11 |
| 1316592629 | Megan Nicole Mertz | Nurse Practitioner | 1624 S 153rd St, Omaha, NE 68144-5145 | 2019-08-04 |
| Find all providers in OMAHA | ||||
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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.