Heather Dawn Mullen, FNPBC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0017139598 Issued in VA

Practice address

2300 Dumbarton Rd
Richmond, VA 23228

Phone

(804) 955-4714

NPI assigned

Nov 30, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Care Aco LLCGroup PAC ID 3274996426, 36 clinicians

Legacy Care LLCGroup PAC ID 0042458200, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Legacy Care Aco LLC

  • Family Medicine Physician
  • Virginia BCH, VA
  • NPI 1538844857
  Medicare reassignment Care Compare group NPD
• Legacy Care LLC

  • Family Medicine Physician
  • Virginia Beach, VA
  • NPI 1902149776
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1124356290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 DUMBARTON RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23228",
            "telephone_number": "804-955-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 DUMBARTON RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23228",
            "telephone_number": "804-955-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "HEATHER",
        "middle_name": "DAWN",
        "credential": "FNPBC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-30",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0017139598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA LICENSE WITH AUTHORIZATION TO PRESCRIBE",
            "identifier": "0017139598",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mikayla Lynn Price Mukashev, PA-C
• Henry Mukuye, LCSW
• Bashayer Mulla
• Shannon Mullaley, RBT
• Carol Mullen, PHD
• Martha D Mullen, LPC
• Perry Wesley Mullen, MD
• Taylor Mullen, M.ED.
• Lisa D Mullens-Jennings, MSW
• Emily K. Mullet, M.D.

• Family Nurse Practitioner in Richmond, VA
• Providers in Richmond, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.

Verify at the official NPI Registry.