Individual provider Active NPI

Devon Mullins, RN, CLC

  • Lactation Consultant (Registered Nurse)
  • Tulsa, OK
National Provider Identifier
1194199653
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
R0133635 Issued in OK
Practice address
2626 E 21St St Ste 6
Tulsa, OK 74114-1719
Phone
(918) 233-8328
NPI assigned
Nov 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X R0133635 OK Primary

Addresses

Primary practice location

2626 E 21St St Ste 6
Tulsa, OK 74114-1719

Mailing address

19501 S 4210 Rd
Claremore, OK 74019-4241
Phone (918) 530-7789

Other practice location 1

19501 S 4210 Rd
Claremore, OK 74019-4241
Phone (918) 530-7789

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R0133635OKMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1194199653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19501 S 4210 RD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740194241",
            "telephone_number": "918-530-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 E 21ST ST STE 6",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141719",
            "telephone_number": "918-233-8328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19501 S 4210 Rd",
            "address_purpose": "LOCATION",
            "city": "Claremore",
            "state": "OK",
            "postal_code": "740194241",
            "country_code": "US",
            "telephone_number": "918-530-7789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "DEVON",
        "credential": "RN, CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-20",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "OK",
            "license": "R0133635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.