Active NPI
Mary Christina McMullen, LSW
- Acute Care Nurse Practitioner
- Uniontown, OH
National Provider Identifier
1245778505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 371457
- Practice address
- 1560 Corporate Woods Pkwy Ste 313
Uniontown, OH 44685 - Phone
- (330) 208-2720
- Fax
- (330) 208-2721
- NPI assigned
- Feb 7, 2017
- Last updated
- Jul 27, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN.CNP.020557 | OH | |
| Acute Care Nurse Practitioner | 363LA2100X | 371457 | OH | Primary |
Addresses
Primary practice location
1560 Corporate Woods Pkwy Ste 313
Uniontown, OH 44685
Mailing address
2215 E Waterloo Rd Ste 313
Akron, OH 44312-3856
Phone (303) 208-2720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0273356 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.020557 | OH | MD | Nurse Practitioner |
| 371457 | OH | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532649600000",
"number": "1245778505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 E WATERLOO RD STE 313",
"city": "AKRON",
"state": "OH",
"postal_code": "443123856",
"telephone_number": "303-208-2720",
"fax_number": "330-208-2721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 CORPORATE WOODS PKWY STE 313",
"city": "UNIONTOWN",
"state": "OH",
"postal_code": "44685",
"telephone_number": "330-208-2720",
"fax_number": "330-208-2721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMULLEN",
"first_name": "MARY",
"middle_name": "CHRISTINA",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-07",
"last_updated": "2018-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.020557",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "371457",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0273356",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Uniontown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.