ELIZABETH MULLIS (NPI# 1386186831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386186831 |
| Entity Type | Individual |
| Full Name | ELIZABETH MULLIS |
| Practice Address |
2920 S Mcintire Dr Suite 103 Bloomington IN 47403-4221 |
| Practice Telephone | 8123532870 |
| Practice Fax Number | 8123532881 |
| Mailing Telephone | 8123532870 |
| Mailing Fax Number | 8123532881 |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71006699A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831304344 | Elizabeth R Mullis | Dentist | 12 Cleveland Ct, Greenville, SC 29607-2414 | 2007-05-10 |
| Street Address |
2920 S MCINTIRE DR SUITE 103 |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205834546 | Cheryl D Pittsford | Physician Assistant | 2920 S Mcintire Dr, Suite 350, Bloomington, IN 47403-4221 | 2005-07-11 |
| 1316431968 | Charlotte I Marks | Physician Assistant | 2920 S Mcintire Dr, Bloomington, IN 47403-4221 | 2018-06-18 |
| 1639680184 | Teresa D Luttrell | Hearing Instrument Specialist | 2920 S Mcintire Dr, Bloomington, IN 47403-4221 | 2017-10-23 |
| 1831538297 | Summer Leann Appling | Obstetrics & Gynecology | 2920 S Mcintire Dr, Bloomington, IN 47403-4221 | 2013-06-19 |
| 1598103681 | Donna Cutshall | Advanced Practice Midwife | 2920 S Mcintire Dr, Suite 250, Bloomington, IN 47403-4221 | 2013-06-11 |
| 1417245317 | Southern Indiana Hearing Solutions | Audiologist | 2920 S Mcintire Dr, Suite 350, Bloomington, IN 47403-4221 | 2011-07-13 |
| 1376842039 | Tashera Everlois Narcissa Perry | Obstetrics & Gynecology | 2920 S Mcintire Dr, Suite 250, Bloomington, IN 47403-4221 | 2011-03-21 |
| 1750516076 | Rachel D Manley | Obstetrics & Gynecology | 2920 S Mcintire Dr, Suite 250, Bloomington, IN 47403-4221 | 2009-05-18 |
| 1811191000 | Kristin M Baar | Audiologist | 2920 S Mcintire Dr, #350, Bloomington, IN 47403-4221 | 2007-06-12 |
| 1366573966 | Alexa Helena Niehaus | Physician Assistant | 2920 S Mcintire Dr, Suite 350, Bloomington, IN 47403-4221 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1609343128 | Katy Jo Northcutt | Nurse Practitioner | 1130 S Veterans Parkway, Bloomington, IL 61704-7117 | 2018-11-02 |
| 1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
| 1073061552 | David Wells | Nurse Practitioner | 8100 Northland Dr., Bloomington, MN 55431 | 2016-09-14 |
| 1720532005 | Antonia Jacqueline Abrahamsen | Nurse Practitioner | 2009 E Oakland Ave, Bloomington, IL 61701-5756 | 2016-08-04 |
| 1700229028 | Steve Mandieka | Nurse Practitioner | 10800 Lyndale Ave S Ste 114, Bloomington, MN 55420-2611 | 2013-04-17 |
| 1144538380 | Julie Ann Whelan | Nurse Practitioner | 8642 Wood Cliff Cir S, Bloomington, MN 55438-1514 | 2010-09-22 |
| 1386877413 | Carrie Hines | Nurse Practitioner | 4444 W State Road 46, Bloomington, IN 47404-9691 | 2009-08-24 |
| 1962634154 | Mark Stock | Nurse Practitioner | 9401 James Ave S Ste 162, Bloomington, MN 55431-2549 | 2009-08-20 |
| 1104911791 | Carla Mcgee | Nurse Practitioner | 600 North Jordan Avenue, Bloomington, IN 47405-3191 | 2006-10-03 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
Please comment or provide details below to improve the information on ELIZABETH 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.