Active NPI
Laurelin Mullins, RN, FNP-C
- Family Nurse Practitioner
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 643821
- Practice address
- 2200 Park Bend Dr BLDG 2-204
Austin, TX 78758-5584 - Phone
- (855) 481-8375
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 643821 | TX | Primary |
Addresses
Primary practice location
2200 Park Bend Dr BLDG 2-204
Austin, TX 78758-5584
Mailing address
4616 W Howard LN
Austin, TX 78731
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 369884701 | Medicaid | TX | |
| 568146YMGJ | Other | TX | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
505 W Louis Henna Blvd
Suite 100
Austin, TX 78728-1702
Phone (855) 481-8375
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor Health Medical Group | Current | Accepting new patients |
Locations
505 W Louis Henna Blvd
Ste 100
Austin, TX 78728
Phone (512) 252-1505
2200 Park Bend Dr
Ste 300
Austin, TX 78758
Phone (512) 371-6398
911 W 38th St
Ste 101
Austin, TX 78705
Phone (512) 600-2888
177 Kirkham Cir
Kyle, TX 78640
Phone (512) 405-0077
511 Oakwood Blvd
Ste 200
Round Rock, TX 78681
Phone (512) 246-2262
Interoperability endpoints
- laurelin.mullins.1@28292.direct.athenahealth.com
- https://api.platform.athenahealth.com/28292/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Austin, TX
- NPI 1396486619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1093727240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4616 W HOWARD LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 PARK BEND DR BLDG 2-204",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585584",
"telephone_number": "855-481-8375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "LAURELIN",
"credential": "RN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "643821",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "369884701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "568146YMGJ",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.