Individual provider Active NPI

Pamela June Mullins

  • Speech-Language Pathologist
  • Bluffton, SC
National Provider Identifier
1306422043
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8868 Issued in SC
Practice address
141 Inspiration Ave Apt 5104
Bluffton, SC 29910-6347
Phone
(304) 688-7250
NPI assigned
Mar 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X
Speech-Language Pathologist 235Z00000X 8868 SC Primary

Addresses

Primary practice location

141 Inspiration Ave Apt 5104
Bluffton, SC 29910-6347

Mailing address

397 Chapel Dr
Yawkey, WV 25573-9758
Phone (304) 688-7250

Other practice location 1

397 Chapel Dr
Yawkey, WV 25573-9758
Phone (304) 688-7250

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

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1306422043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 CHAPEL DR",
            "city": "YAWKEY",
            "state": "WV",
            "postal_code": "255739758",
            "telephone_number": "304-688-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 INSPIRATION AVE APT 5104",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106347",
            "telephone_number": "304-688-7250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "397 Chapel Dr",
            "address_purpose": "LOCATION",
            "city": "Yawkey",
            "state": "WV",
            "postal_code": "255739758",
            "country_code": "US",
            "telephone_number": "304-688-7250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "PAMELA",
        "middle_name": "JUNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "8868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.