Ellen Shea Mullen, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

021129 Issued in LA

Practice address

2312 E Main St
Suite B
New Iberia, LA 70560-4064

Phone

(337) 364-0938

Fax

(337) 359-9024

NPI assigned

Aug 15, 2005

Last updated

Feb 25, 2013By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Iberia Familymd, LLC

  dba Alberto M. Palmiano,M.D.

  • Primary Care Clinic/Center
  • New Iberia, LA
  • NPI 1619937042
  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1174515332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 E MAIN ST",
            "address_2": "SUITE A",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604041",
            "telephone_number": "337-364-8566",
            "fax_number": "337-359-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 E MAIN ST",
            "address_2": "SUITE B",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604064",
            "telephone_number": "337-364-0938",
            "fax_number": "337-359-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "ELLEN",
        "middle_name": "SHEA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "021129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "021129",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1466352",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Moss Speech Langugae Therapy LLC
• Michelle C Moss, M.S. CCC-SLP
• James Mouret
• Destinee' Mouton
• Robin Mouton, LCSW
• Multiple Streams Inc (Taste-N-Sea Restaurant)
• Joan L Munson, PHYSICAL THERAPIST
• Lauren Virginia Murphy, OD
• Analeigh Sage Nelson
• Larry F Nelson, MD

• Family Medicine Physician in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.