MRS. TAMARA S MULLINS (NPI# 1730655820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730655820 |
| Entity Type | Individual |
| Full Name | MRS. TAMARA S MULLINS |
| Credential | FNP-BC |
| Practice Address |
5050 Skyline Village Loop S Salem OR 97306-9490 |
| Mailing Address |
2992 Aubrey Ln Ne Keizer OR 97303-9762 |
| Practice Telephone | 5033911110 |
| Mailing Telephone | 5038513161 |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201809056NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5050 SKYLINE VILLAGE LOOP S |
| City | SALEM |
| State | OR |
| Zip Code | 97306-9490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972586147 | Myron L Lee | Family Medicine | 5050 Skyline Village Loop S, Salem, OR 97306-9490 | 2005-11-22 |
| 1982148789 | Wvp Medical Group, LLC | Internal Medicine | 5050 Skyline Village Loop S, Salem, OR 97306-9490 | 2016-12-13 |
| 1578908638 | Troy Sterling Nies | Physician Assistant | 5050 Skyline Village Loop S, Salem, OR 97306-9490 | 2013-05-02 |
| 1174874176 | Grace Whei Kao | Internal Medicine | 5050 Skyline Village Loop S, Salem, OR 97306-9490 | 2012-10-01 |
| 1265743330 | Providence Health & Services Oregon | Clinic/Center | 5050 Skyline Village Loop S, Salem, OR 97306-9490 | 2010-06-23 |
| 1558494294 | Christian Robert Duren | Internal Medicine | 5050 Skyline Village Loop S, Salem, OR 97306-9490 | 2007-03-13 |
| 1215094958 | Ragna Kirsten Rey Rosa | Family Medicine | 5050 Skyline Village Loop S, Salem, OR 97306-9490 | 2007-01-02 |
| 1427152818 | Jay Campbell | Family Medicine | 5050 Skyline Village Loop S, Salem, OR 97306-9490 | 2006-09-07 |
| 1649283060 | Heidi Louise Fletemier | Family Medicine | 5050 Skyline Village Loop S, Salem, OR 97306-9490 | 2006-08-15 |
| 1841275393 | Doctors Clinic LLP | Internal Medicine | 5050 Skyline Village Loop S, Salem, OR 97306-9490 | 2005-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134609050 | Andrea P Merryman | Dental Assistant | 5135 Skyline Rd South, Salem, OR 97306 | 2018-08-20 |
| 1215470315 | Anthony Quoc Ngo | Nurse Practitioner | 5050 Skyline Village Loop, Salem, OR 97306 | 2016-11-22 |
| 1134521305 | Wendy Poling | Occupational Therapy Assistant | 1966 Madras St Se Apt 1082, Salem, OR 97306 | 2014-09-19 |
| 1659601045 | Monarch Medical Group LLC | Clinic/Center | 5686 Commercial St Se, Suite 100, Salem, OR 97306 | 2010-01-06 |
| 1316188006 | Judith A Mitchell | Physician Assistant | 4999 Skyline Rd. S., Salem, OR 97306 | 2009-03-10 |
| 1164685574 | Leon Chira | Pharmacist | 2431 Concomly Rd S, Salem, OR 97306 | 2008-07-07 |
| 1912175035 | Salem Clinic, PC | General Practice | 2531 Boone Road Se, Salem, OR 97306 | 2008-02-11 |
| 1326257486 | Robert Allen Long | Physical Therapist | 6250 Commercial St N.e., Salem, OR 97306 | 2007-05-22 |
| 1922137504 | Charlene Garbutt | Dental Assistant | 5135 Skyline Rd. S., Salem, OR 97306 | 2007-03-02 |
| 1417085747 | Michelle West | Dental Assistant | 5135 Skyline R S, Salem, OR 97306 | 2007-02-28 |
| Find all providers in zip 97306 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247908 | Tracy Jean Payton | Nurse Practitioner | 3898 Lee Road 250, Salem, AL 36874-1450 | 2020-08-24 |
| 1437775137 | Krista Michelle Brinkerhoff | Nurse Practitioner | 636 N 220 E, Salem, UT 84653-5553 | 2020-06-18 |
| 1851913271 | Rossiel Pita-roman | Nurse Practitioner | 25 Oak Ridge Ave Apt 10, Salem, NH 03079-4480 | 2020-05-07 |
| 1487292157 | Kelly Daily Morris | Nurse Practitioner | 5915 Port Stewart Ct Se, Salem, OR 97306-9034 | 2019-12-12 |
| 1174087985 | Brenda Gott | Nurse Practitioner | 3103 Hh Highway, Salem, MO 65560 | 2019-01-25 |
| 1992277594 | Shelisa Rena Taylor | Nurse Practitioner | 1126 Lee Road 250, Salem, AL 36874-1373 | 2018-12-19 |
| 1811472426 | Kathryn B Powell | Nurse Practitioner | 400 Highland Ave Ste 1, Salem, MA 01970-1783 | 2018-09-28 |
| 1609367077 | Jennifer Turner | Nurse Practitioner | 225 Sunbridge Drive, Salem, WV 26426 | 2018-05-22 |
| 1174042535 | Elizabeth Keane | Nurse Practitioner | 9 Riverbank Rd, Salem, MA 01970-5311 | 2017-09-15 |
| 1346766292 | Scott Adam Pasquale | Nurse Practitioner | 331r Highland Ave, Salem, MA 01970-1738 | 2017-08-22 |
| Find all providers in SALEM | ||||
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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.