MRS. HEATHER ANN MULLIN (NPI# 1124461116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124461116 |
| Entity Type | Individual |
| Full Name | MRS. HEATHER ANN MULLIN |
| Credential | PNP |
| Practice Address |
90 Presidential Plaza 3rd Fl Syracuse NY 13202 |
| Practice Telephone | 3154644357 |
| Practice Fax Number | 3154642030 |
| Mailing Telephone | 3154644357 |
| Mailing Fax Number | 3154642030 |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2019-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
382370 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03583951 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629616545 | Heather Deanne Mullin | Massage Therapist | 1248 Monterey St, San Luis Obispo, CA 93401-3104 | 2019-12-11 |
| 1861896664 | Heather Mullin | Occupational Therapist | 245 North St, Bristol, VA 24201-3274 | 2014-10-22 |
| Street Address |
90 PRESIDENTIAL PLAZA 3RD FL |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063412575 | James Anthony Traver | Internal Medicine | 90 Presidential Plaza, Uhcc, Adult Medicine, Syracuse, NY 13202 | 2005-07-26 |
| 1972116804 | Maya Marie Werksman | Nurse Practitioner | 90 Presidential Plaza, Syracuse, NY 13202 | 2020-08-29 |
| 1790316305 | Alexander C Hensel | Nurse Practitioner | 90 Presidential Plaza, Syracuse, NY 13202 | 2020-02-01 |
| 1164918546 | Cynthia Ann Davis | Nurse Practitioner | 90 Presidential Plaza, 3rd Fl, Syracuse, NY 13202 | 2018-07-09 |
| 1265945620 | Raechel Dick | Nurse Practitioner | 90 Presidential Plaza, Syracuse, NY 13202 | 2017-11-08 |
| 1295199545 | Joshua Bonville | Pediatrics | 90 Presidential Plaza, 3rd Fl, Syracuse, NY 13202-2240 | 2016-04-12 |
| 1588040331 | Deborah Bedford | Nurse Practitioner | 90 Presidential Plaza, 4th Floor, Syracuse, NY 13202 | 2015-08-04 |
| 1528453982 | Jessica E Mayer | Internal Medicine | 90 Presidential Plaza, 3rd Fl, Syracuse, NY 13202 | 2015-04-02 |
| 1285046508 | Rupali Singla | Family Medicine | 90 Presidential Plaza, Syracuse, NY 13202 | 2014-05-21 |
| 1801148010 | Mary Joanne Lakomski | Pharmacist | 90 Presidential Plaza, Syracuse, NY 13202 | 2012-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255804456 | Lisa Blachford | Registered Nurse | 421 Montgomery St Room 80, Syracuse, NY 13202 | 2019-01-10 |
| 1851873640 | Syracuse Community Health Center, Inc. | Case Management | 819 South Salina Street, Syracuse, NY 13202 | 2018-08-29 |
| 1245739713 | Telibra Lloyd | Counselor | 375 W Onondaga St Suite 10, Syracuse, NY 13202 | 2018-02-09 |
| 1326574534 | Wendell Covell | Social Worker | 50 Presidential Plaza, Jefferson Tower Suite Ll05, Syracuse, NY 13202 | 2017-05-08 |
| 1083165005 | Candy Herbert | Counselor | 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 | 2016-10-14 |
| 1427429760 | Joshua Caryl | Counselor | 319 East Water Street, Syracuse, NY 13202 | 2015-10-13 |
| 1093140956 | Jennifer B Mccaffrey | Nurse Practitioner | 421 Montgomery Street Room 80, Onondaga County Health Dept. Bureau of Disease Control, Syracuse, NY 13202 | 2013-09-11 |
| 1336581552 | Emily Renee Haggerty | Hospitalist | 500 Harrison St, 1705a, Syracuse, NY 13202 | 2013-07-30 |
| 1134470933 | Tanya Marie Harlec Mcguire | Genetic Counselor, MS | 90 Presdential Plaza Uhcc 3rd Fl., Regional Perinatal Center Suny Upstate Medical Ctr, Syracuse, NY 13202 | 2012-09-20 |
| 1104176320 | Mary Jo Maestri | Genetic Counselor, MS | 90 Presidential Plaza Uhcc- Perinatal Ceter, University Hospital/upstate Medical Center, Syracuse, NY 13202 | 2012-09-14 |
| Find all providers in zip 13202 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410186 | Katie Elise Boyd | Nurse Practitioner | 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 | 2020-09-03 |
| 1023633427 | Katherine Ellen Smith | Nurse Practitioner | 736 Irving Ave # 9100, Syracuse, NY 13210-1687 | 2020-06-11 |
| 1053575829 | Tashika Gomez | Nurse Practitioner | 428 S Alvord St, Syracuse, NY 13208-2720 | 2008-07-10 |
| 1114180015 | Tracey Jo Rheaume | Nurse Practitioner | 725 Irving Avenue Suite 112, Center for Neurodevelopmemtl Pediatrics Crouse Pob, Syracuse, NY 13210-1624 | 2008-07-10 |
| 1538264312 | Nancy P Mitchell | Nurse Practitioner | 90 Presidential Plz Fl 3, University Pediatric and Adolescent Center, Syracuse, NY 13202-2240 | 2006-09-14 |
| 1821616962 | Brittney Johnson | Nurse Practitioner | 736 Irving Ave Ste 9100, Syracuse, NY 13210-1687 | 2020-07-06 |
| 1114542511 | Heather N Bedard | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-06-11 |
| 1841858370 | Heather Pitts | Nurse Practitioner | 819 S Salina St, Syracuse, NY 13202-3570 | 2019-05-30 |
| 1922572379 | Kristen Marie Maas | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-2306 | 2019-01-18 |
| 1225518707 | Erica Kendrew | Nurse Practitioner | 819 S Salina St, Syracuse, NY 13202 | 2018-08-15 |
| Find all providers in SYRACUSE | ||||
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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.