MR. MATTHEW ROBERT MULLEN (NPI# 1528449626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528449626 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW ROBERT MULLEN |
| Credential | FNP-C |
| Practice Address |
5306 Downs Dr Austin TX 78721-2206 |
| Mailing Address |
4303 Victory Dr Austin TX 78704-7507 |
| Practice Telephone | 2106631622 |
| Mailing Telephone | 5124623627 |
| Mailing Fax Number | 5124623431 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 766565 | TX | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP128329 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750323960 | Matthew Mullen | Specialist | 700 Us 1 Hwy Ste 100, Youngsville, NC 27596 | 2006-06-12 |
| 1194068858 | Matthew Gerard Mullen | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Box 800719, Charlottesville, VA 22908-0816 | 2013-04-01 |
| 1336439595 | Matthew B Mullen | Internal Medicine | 619 19th St S, Birmingham, AL 35249 | 2011-04-08 |
| Street Address |
5306 DOWNS DR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78721-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023119716 | Jeffree Augusta James | Internal Medicine | 3232 East Martin Luther King Jr. Blvd, Austin, TX 78721-1043 | 2006-09-26 |
| 1518208511 | Hughes Horner Care LLC | In Home Supportive Care | 3406 E Mlk Jr Blvd, Austin, TX 78721-1047 | 2013-03-15 |
| 1275714750 | Henry Chukwudi Ebem | Physical Therapist | 3218 E Martin Luther King Jr Blvd Ste 102, Austin, TX 78721-1054 | 2007-11-26 |
| 1407853823 | Johnson Custodial Home, Inc. | Nursing Facility/Intermediate Care Facility | 3406 E 17th St, Austin, TX 78721-1106 | 2005-06-30 |
| 1669089504 | Tess Lenae Taylor | Counselor | 1205 Luna St, Austin, TX 78721-1229 | 2020-09-24 |
| 1184900714 | Steven Allen Blaisdell | Counselor | 1212 Luna St, Austin, TX 78721-1230 | 2011-10-27 |
| 1831598275 | Ryan Authier | Counselor | 1801 Elmira Rd, Austin, TX 78721-1314 | 2014-08-21 |
| 1346646296 | Lacresa Mckinney | Custodial Care Facility | 1807 Springdale Rd, Austin, TX 78721-1348 | 2014-11-05 |
| 1669620357 | Loving Care Homes Ministries- Webberville House | Assisted Living Facility | 1808 Webberville Rd, Austin, TX 78721-1506 | 2008-09-05 |
| 1639240799 | Deborah Ann Taylor | Specialist | 4802 Heflin Ln, Austin, TX 78721-1524 | 2006-11-12 |
| Find all providers in zip 78721 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616992 | Nancy Toll | Nurse Practitioner | 8600 N Fm 620 Rd Apt 936, Austin, TX 78726-3535 | 2020-10-13 |
| 1003413055 | Anthony Delovino Lista | Nurse Practitioner | 311 Bowie St Apt 1215, Austin, TX 78703-5296 | 2020-10-02 |
| 1366049553 | Lauren Nicole Crider | Nurse Practitioner | 3601 S Congress Ave Ste D100, Austin, TX 78704-7205 | 2020-10-01 |
| 1366059784 | Teresa Marie Reed | Nurse Practitioner | 3921 Steck Ave Ste A120, Austin, TX 78759-8669 | 2020-09-29 |
| 1144836289 | Amy Silva | Nurse Practitioner | 1824 Rainy Meadows Dr, Austin, TX 78758-3518 | 2020-09-22 |
| 1326652470 | Carolyn Lee Stanford | Nurse Practitioner | 14902 Crosscreek, Austin, TX 78737-8904 | 2020-09-06 |
| 1457965899 | Lorie Kmetz | Nurse Practitioner | 1907 Alguno Rd, Austin, TX 78757-3220 | 2020-09-02 |
| 1184238735 | Amanda Kanski | Nurse Practitioner | 9525 N Capital of Texas Hwy Unit 416, Austin, TX 78759-7294 | 2020-09-01 |
| 1487265013 | Lisa Karen Brogan | Nurse Practitioner | 1805 Forest Hill Dr, Austin, TX 78745-1720 | 2020-08-17 |
| 1992316327 | Mona Saberi | Nurse Practitioner | 15024 Calaveras Dr, Austin, TX 78717-4577 | 2020-08-10 |
| Find all providers in AUSTIN | ||||
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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.