Active NPI
Pamela June Mullins
- Speech-Language Pathologist
- Bluffton, SC
National Provider Identifier
1306422043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8868
- 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
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 |
|---|---|---|---|---|
| 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.