Tracy Anne Mullins, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP 8513 Issued in OH

Practice address

5409 Douglas Firr CT
Cincinnati, OH 45247-7445

Phone

(513) 574-4612

Fax

(513) 574-4612

NPI assigned

Jul 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1285656702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 DOUGLAS FIRR CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477445",
            "telephone_number": "513-574-4612",
            "fax_number": "513-574-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 DOUGLAS FIRR CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477445",
            "telephone_number": "513-574-4612",
            "fax_number": "513-574-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "TRACY",
        "middle_name": "ANNE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP 8513",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "3358",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2187155",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John A Mullins
• Kimberly K Mullins, NP
• Lindsay Mullins
• Nicole L Mullins, CNP
• Susan Caroline Mullins, QMHS
• Violet Marie Mullins, OTA
• Brooke E Mullis
• James J. Mulloney Jr., RN, CNP
• Elena Mulready, DPT
• Megan Dorothy Mulvaney, SLP

• All providers in Cincinnati, OH
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.