Active NPI
Christina Beth Mueller, FNP
- Family Nurse Practitioner
- Austell, GA
National Provider Identifier
1174859987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN181505NP
- Practice address
- 393 Maxham Rd
Ste. a&B
Austell, GA 30168-5539 - Phone
- (770) 732-6007
- Fax
- (770) 732-8242
- NPI assigned
- Oct 29, 2009
- 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 | RN181505NP | GA | Primary |
Addresses
Primary practice location
393 Maxham Rd
Ste. a&B
Austell, GA 30168-5539
Mailing address
393 Maxham Rd
Ste. a&B
Austell, GA 30168-5539
Phone (770) 732-6007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN181505NP | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuestros Ninos Our Kids Pediatrics PC | Past | Accepting new patients |
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.
-
- Pediatric Nurse Practitioner
- Atlanta, GA
- NPI 1336457597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256774400000",
"number": "1174859987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 MAXHAM RD",
"address_2": "STE. A&B",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301685539",
"telephone_number": "770-732-6007",
"fax_number": "770-732-8242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 MAXHAM RD",
"address_2": "STE. A&B",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301685539",
"telephone_number": "770-732-6007",
"fax_number": "770-732-8242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "CHRISTINA",
"middle_name": "BETH",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-29",
"last_updated": "2009-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN181505NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.