Rebecca Mullins, M.A. CCC - SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP12044 Issued in AZ

Practice address

1600 W la Jolla Dr Apt 2065
Tempe, AZ 85282-4462

Phone

(919) 624-4916

NPI assigned

Sep 9, 2019

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

Credentials

Master of Arts

State licenses

Practice roles

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.

• Advanced Therapy Solutions, LLC

  • Hearing and Speech Clinic/Center
  • Mesa, AZ
  • NPI 1972659399
  NPD (past)
• Desert Valley Pediatric Therapy

  • Specialist
  • Phoenix, AZ
  • NPI 1528209830
  NPD (past)
• Mentis Reo, LLC.

  • Developmental Disabilities Clinic/Center
  • Gilbert, AZ
  • NPI 1609541283
  NPD (past)

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1205485653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W LA JOLLA DR APT 2065",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852824462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W LA JOLLA DR APT 2065",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852824462",
            "telephone_number": "919-624-4916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4350 E Ray Rd Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850444707",
            "country_code": "US",
            "telephone_number": "480-704-5954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "REBECCA",
        "credential": "M.A. CCC - SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP12044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Muhammad, DNP, FNP-C, PMHNP-BC
• Deena Muhammedali
• Mulberry Medical LLC
• Mulligan'S Manor
• Mulligan'S Manor, Inc.
• Elizabeth Mullnix, ATC
• Multispecialty Group of Flagstaff
• Magimvuyu N Mumbere, NP
• Tanja Nicole Mundt, MA, LPC-S
• Kimberly Munneke, NP-BC

• Speech-Language Pathologist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.