Active NPI
Devon Mullins, RN, CLC
- Lactation Consultant (Registered Nurse)
- Tulsa, OK
National Provider Identifier
1194199653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- R0133635
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| R0133635 | OK | MD | Lactation 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.