MACKENZEE JORDAN MULLINS (NPI# 1881244465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881244465 |
| Entity Type | Individual |
| Full Name | MACKENZEE JORDAN MULLINS |
| Practice Address |
2807 Roslyn St Denver CO 80238-2624 |
| Mailing Address |
1736 Shea Center Dr Apt 14-107 Highlands Ranch CO 80129-3540 |
| Practice Telephone | 3034036400 |
| Mailing Telephone | 3304140929 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SX0106X |
Clinical Nurse Specialist Specialization: Occupational Health |
0005799 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2807 ROSLYN ST |
| City | DENVER |
| State | CO |
| Zip Code | 80238-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033150271 | Mark N Simon | Obstetrics & Gynecology | 2807 Roslyn St, Denver, CO 80238-2624 | 2006-06-09 |
| 1942814330 | Scl Health Medical Group - Denver, LLC | Physical Medicine & Rehabilitation | 2807 Roslyn St, Denver, CO 80238-2624 | 2020-09-02 |
| 1003089293 | Kathleen Marie Rustici | Obstetrics & Gynecology | 2807 Roslyn St, Denver, CO 80238-2624 | 2008-04-08 |
| 1841233376 | Cynthia Aspromonte | Nurse Practitioner | 2807 Roslyn St, Denver, CO 80238-2624 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651621 | Kuumba Therapy, LLC | Community/Behavioral Health | 2376 Central Park Blvd, Ste 100, Denver, CO 80238 | 2020-08-26 |
| 1831687755 | Daffer Ghanim | Student in an Organized Health Care Education/Training Program | 3055 Roslyn Street, Suite #100, Denver, CO 80238 | 2018-04-26 |
| 1164932612 | East Stapleton Dentistry, LLP | Dentist | 10355 E Martin Luther King Jr Blvd Suite 110, Denver, CO 80238 | 2017-10-10 |
| 1245760131 | Ellen Macdonald | Dentist | 8354 E Northfield Blvd Unit 2750, Denver, CO 80238 | 2017-06-14 |
| 1346797867 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 10406 Martin Luther King Blvd, Denver, CO 80238 | 2016-09-01 |
| 1619341997 | Northfield Family Dental | Clinic/Center | 8361 E. Northfield Blvd, Denver, CO 80238 | 2015-11-24 |
| 1922476092 | Deborah Bellesheim | Registered Nurse | 2836 Akron St, Denver, CO 80238 | 2015-09-08 |
| 1235544826 | Andrew Benson | Optometrist | 5489 N Xenia St, Denver, CO 80238 | 2014-06-23 |
| 1861817249 | Caleb Rodgers | Chiropractor | 7505 E 35th Ave Unit 302, Denver, CO 80238 | 2014-02-21 |
| 1124307095 | Ambrosia C Shepard | Counselor | 8354 E Northfield Blvd, Denver, CO 80238 | 2011-08-10 |
| Find all providers in zip 80238 | ||||
| Taxonomy Code | 364SX0106X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Occupational Health |
| Definition to come... |
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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.