Lynette E. Mullins, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

34764 Issued in NE

Practice address

909 S 76TH St
Omaha, NE 68114-4519

Phone

(402) 390-2100

Fax

(402) 390-2136

NPI assigned

Mar 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Westside Community Schools

  • Local Education Agency (LEA)
  • Omaha, NE
  • NPI 1912658451
  NPD
• Maxwell

  • Personal Care Attendant
  • Omaha, NE
  • NPI 1023933603
  NPD (past)

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1104402411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 N MAIN ST APT 10206",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680223174",
            "telephone_number": "402-250-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 S 76TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144519",
            "telephone_number": "402-390-2100",
            "fax_number": "402-390-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "LYNETTE",
        "middle_name": "E.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "34764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lyn Mulligan, PTA
• John Mullin
• Alyssa Mullinix
• Ann Elizabeth Mullins
• Kelly Lynn Mullins, FNP
• Michael Mulske
• Kylie Jo Muma
• Vincent Muma, CRNA
• Alexandria Mumgaard
• Maggie Leigh Mumm, PHARM D

• Registered Nurse in Omaha, NE
• Providers in Omaha, NE by specialty
• Registered Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.