Active NPI
Carley Mullins, RD
- Registered Dietitian
- Palm Beach Gardens, FL
National Provider Identifier
1255109708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 12425
- Practice address
- 15860 81St Ter N
Palm Beach Gardens, FL 33418-1828 - Phone
- (561) 222-9482
- NPI assigned
- Dec 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 12425 | FL | Primary |
Addresses
Primary practice location
15860 81St Ter N
Palm Beach Gardens, FL 33418-1828
Mailing address
15860 81St Ter N
Palm Beach Gardens, FL 33418-1828
Phone (561) 222-9482
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12425 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1255109708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15860 81ST TER N",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334181828",
"telephone_number": "561-222-9482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15860 81ST TER N",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334181828",
"telephone_number": "561-222-9482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "CARLEY",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-14",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "12425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.