Diana K Mullin

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

686124596 Issued in FL

Practice address

9325 CR 622 G
Bushnell, FL 33513

Phone

(352) 568-2207

NPI assigned

Aug 21, 2008

Last updated

Aug 21, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1205083268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 CR 622 G",
            "city": "BUSHNELL",
            "state": "FL",
            "postal_code": "33513",
            "telephone_number": "352-568-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 CR 622 G",
            "city": "BUSHNELL",
            "state": "FL",
            "postal_code": "33513",
            "telephone_number": "352-568-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "DIANA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "686124596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigitte Mitchell
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• Noelle Mooneyham, ARNP
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• Sarah J Moyer, PHARMD.
• Vijaya L Nagabhairu, MD
• Raihna Maklay Newcomb, PTA
• Desirae Newell, PHARMD
• Joseph Brent Novak, D.M.D
• Osprey Nursing and Rehabilitation, LLC (Osprey Point Nursing Center)

• Developmentally Disabled Services Day Training Agency in Bushnell, FL
• Providers in Bushnell, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.