Individual provider Active NPI

Eileen Philbin-Muldoon, APN

  • Family Nurse Practitioner
  • Sparks, NV
National Provider Identifier
1073849162
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209007834 Issued in IL
Practice address
2244 Oddie Blvd
Sparks, NV 89431-7574
Phone
(775) 997-7300
NPI assigned
Oct 23, 2009
Last updated
Jan 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209007834 IL Primary

Addresses

Primary practice location

2244 Oddie Blvd
Sparks, NV 89431-7574

Mailing address

P.O. Box 1337
Gallup, NM 87305-1337
Phone (505) 722-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160401000706 CA Practitioner - Nurse Practitioner 6305989385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

301 6TH St
Suite 214
Santa Rosa, CA 95401-6270
Phone (707) 303-3600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209007834ILMDFamily Nurse Practitioner
95002788CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Community Health Centers CurrentSince Feb 4, 2024 Accepting new patients
Santa Rosa Community Health Centers Current Accepting new patients
Community Medical Centers, Inc. Current Accepting new patients
Community Medical Centers, Inc CurrentSince Mar 17, 2016 Accepting new patients
Santa Rosa Community Health Centers CurrentSince Feb 4, 2024 Accepting new patients
Community Medical Centers Inc CurrentSince Mar 17, 2016 Accepting new patients

Locations

131 W A St
Ste 1
Dixon, CA 95620
Phone (707) 635-1600

131 W A St
Ste 3
Dixon, CA 95620
Phone (707) 635-1600

3569 Round Barn Cir
Santa Rosa, CA 95403

7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816

600 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 359-1800

Interoperability endpoints

  • Direct secure messaging: ephilbinmuldoon627564@direct.ochin.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1073849162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1337",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873051337",
            "telephone_number": "505-722-1000",
            "fax_number": "505-722-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 ODDIE BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894317574",
            "telephone_number": "775-997-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILBIN-MULDOON",
        "first_name": "EILEEN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209007834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.