Erika Alyse Mullen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA06990 Issued in TX

Practice address

3001 Knox St Ste 407
Dallas, TX 75205-5594

Phone

(972) 716-3922

Fax

(877) 647-0202

NPI assigned

Jun 25, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Erika Alyse Funderburg Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Medical College of Georgia School of Medicine, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Sinus and Allergy Specialists of TexasGroup PAC ID 7315169596, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Sinus & Allergy Specialists of Texas

  • Allergy & Immunology Physician
  • Austin, TX
  • NPI 1639510803
  Medicare reassignment Care Compare group
• Sleep Center Hawaii LLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Kailua Kona, HI
  • NPI 1487267811
  NPD (past)

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1306008065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 BALCONES DR STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314280",
            "telephone_number": "512-550-1800",
            "fax_number": "877-647-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 KNOX ST STE 407",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752055594",
            "telephone_number": "972-716-3922",
            "fax_number": "877-647-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3417 Spectrum Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750829729",
            "country_code": "US",
            "telephone_number": "972-716-3922",
            "fax_number": "877-647-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "890 Rockwall Pkwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750326871",
            "country_code": "US",
            "telephone_number": "972-716-3922",
            "fax_number": "877-647-0202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "ERIKA",
        "middle_name": "ALYSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "005185",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "AMD-933",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIKA",
            "last_name": "FUNDERBURG",
            "middle_name": "ALYSE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Betty W Mulindi
• Vidya Nagasai Mullangi, MD
• Vishruth Mullapudi
• Camille F. Mullen, CRNA
• Christyn Mullen, PHARM.D.
• Gina P Mullen, MD
• Candace L Mullens, MS, PA-C
• Michael R. Mullens, MD
• Christina Angelique Muller-Gonzales
• Annie E Muller, CHC, CLC

• Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.