Dezaray Christian McMullin, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

RN.445771 Issued in OH

Practice address

6834 W Sherri Dr
Macedonia, OH 44056-2440

Phone

(216) 526-7290

NPI assigned

Dec 11, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1093582926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6834 W SHERRI DR",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440562440",
            "telephone_number": "216-526-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6834 W SHERRI DR",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440562440",
            "telephone_number": "216-526-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLIN",
        "first_name": "DEZARAY",
        "middle_name": "CHRISTIAN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "OH",
            "license": "RN.445771",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "OH",
            "license": "RN.445771",
            "primary": false
        },
        {
            "code": "163WC2100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continence Care",
            "state": "OH",
            "license": "RN.445771",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OH",
            "license": "RN.445771",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "OH",
            "license": "RN.445771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Mata
• Christina Matthews
• William Robert Maxwell, PT
• Kasey S McCombs, PT
• Theresa L. McLaughlin, RN
• Jeanna McQuillen, PHARMD
• Meckler Dental Providers (Macedonia), Inc. (DentalWorks of Macedonia)
• Merit Dental of Ohio II - Nouneh, Inc. (Merit Dental)
• Regina Merle
• Keith Mesmer, NCSP

• Administrator Registered Nurse in Macedonia, OH
• Providers in Macedonia, OH by specialty
• Administrator Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.