Tiffani Lynne Schammel Mullins, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9320 Issued in MN

Practice address

8225 Flying Cloud Dr
Eden Prairie, MN 55344-5315

Phone

(952) 944-0700

NPI assigned

May 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Tiffani Lynne Mullins Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1306897111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3257 WOOD DUCK DR NW",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553723211",
            "telephone_number": "952-447-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8225 FLYING CLOUD DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445315",
            "telephone_number": "952-944-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "TIFFANI",
        "middle_name": "LYNNE SCHAMMEL",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "9320",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "9320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANI",
            "last_name": "MULLINS",
            "middle_name": "LYNNE",
            "prefix": "MRS.",
            "credential": "PAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ahmed Muhumed
• Safiya Abdi Muhumed
• Said Abdinasir Muhumed
• Sumeyra Muhumed
• Kate Mulligan, AU.D.
• Aliya Mumin
• Munira Mumin
• Sana Muneer
• Michael Matthew Munson, CPRS-R
• Abby Murphy-Thompson

• Physician Assistant in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.